Provider Demographics
NPI:1154777373
Name:SAVARKAR, TEJASWINI
Entity type:Individual
Prefix:
First Name:TEJASWINI
Middle Name:
Last Name:SAVARKAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1412 FRENCHMANS BEND DR
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60564-9714
Mailing Address - Country:US
Mailing Address - Phone:501-339-1997
Mailing Address - Fax:
Practice Address - Street 1:1412 FRENCHMANS BEND DR
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60564-9714
Practice Address - Country:US
Practice Address - Phone:501-339-1997
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-06
Last Update Date:2016-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0700151112251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics