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Individual

DR. GEORGE BRANOVACKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036-109227
IL
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
036-109227
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
036109227
BLUE CROSS BLUE SHIELD PROVIDER NUMBER
IL
01
250013909
RAILROAD MEDICARE PROVIDER NUMBER
IL
Enumeration date
05/27/2006
Last updated
12/20/2021
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