Provider Demographics
NPI:1871893867
Name:SAVINOV, MIRELA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MIRELA
Middle Name:
Last Name:SAVINOV
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 S CUMBERLAND AVE
Mailing Address - Street 2:
Mailing Address - City:PARK RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60068-5235
Mailing Address - Country:US
Mailing Address - Phone:847-696-3846
Mailing Address - Fax:
Practice Address - Street 1:1900 S CUMBERLAND AVE
Practice Address - Street 2:
Practice Address - City:PARK RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60068-5235
Practice Address - Country:US
Practice Address - Phone:847-696-3846
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-25
Last Update Date:2010-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051.294212183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist