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Organization
PALOS PAIN CENTER
Active
Organization
PALOS PAIN CENTER
Active
Other names
UNIVERSITY PAIN CENTERS
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY IVANKOVICH (DIRECTOR OF PAIN CENTER)
(312) 942-3135
Entity
Organization
Contact information
Practice address
7600 W COLLEGE DR, PALOS HEIGHTS, IL 60463-1001
(708) 923-9771
Mailing address
7600 W COLLEGE DR, PALOS HEIGHTS, IL 60463-1001
(708) 923-9771
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
208600000X
Surgery Physician
—
—
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01615142
BCBS GROUP NUMBER
IL
Enumeration date
04/23/2007
Last updated
09/11/2025
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