Provider Demographics
NPI:1992719975
Name:DR. LIZA MARIE G. SAVIANO, D.P.M., LTD.
Entity type:Organization
Organization Name:DR. LIZA MARIE G. SAVIANO, D.P.M., LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:E
Authorized Official - Last Name:SAVIANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-707-8765
Mailing Address - Street 1:60 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:OSWEGO
Mailing Address - State:IL
Mailing Address - Zip Code:60543-8594
Mailing Address - Country:US
Mailing Address - Phone:630-554-1450
Mailing Address - Fax:
Practice Address - Street 1:60 MAIN ST
Practice Address - Street 2:
Practice Address - City:OSWEGO
Practice Address - State:IL
Practice Address - Zip Code:60543-8594
Practice Address - Country:US
Practice Address - Phone:630-554-1450
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-28
Last Update Date:2012-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILDF1766OtherRAILROAD MEDICARE
IL0002232676OtherBLUE CROSS BLUE SHIELD OF IL
ILDF1766OtherRAILROAD MEDICARE
IL0002232676OtherBLUE CROSS BLUE SHIELD OF IL