Provider Demographics
NPI:1417112996
Name:SAVANOVIC, REBECCA (DPT)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:SAVANOVIC
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:
Other - Last Name:RASIARMOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:1776 W CENTENNIAL PL
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:ADDISON
Mailing Address - State:IL
Mailing Address - Zip Code:60101-1075
Mailing Address - Country:US
Mailing Address - Phone:630-953-0343
Mailing Address - Fax:630-953-0353
Practice Address - Street 1:1776 W CENTENNIAL PL
Practice Address - Street 2:2ND FLOOR
Practice Address - City:ADDISON
Practice Address - State:IL
Practice Address - Zip Code:60101-1075
Practice Address - Country:US
Practice Address - Phone:630-953-0343
Practice Address - Fax:630-953-0353
Is Sole Proprietor?:No
Enumeration Date:2008-07-23
Last Update Date:2015-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070-016492225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist