Provider Demographics
NPI:1104719806
Name:SAUDARGAS, BIRUTE
Entity type:Individual
Prefix:
First Name:BIRUTE
Middle Name:
Last Name:SAUDARGAS
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 1:11S530 RACHAEL CT
Mailing Address - Street 2:
Mailing Address - City:WILLOWBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60527-2700
Mailing Address - Country:US
Mailing Address - Phone:708-307-0039
Mailing Address - Fax:
Practice Address - Street 1:16W285 83RD ST UNIT A
Practice Address - Street 2:
Practice Address - City:BURR RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60527-5873
Practice Address - Country:US
Practice Address - Phone:708-307-0039
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-31
Last Update Date:2025-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health