Individual
DR. GEORGE BRANOVACKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10719 WEST 160TH STREET, ORLAND PARK, IL 60467-5541
(708) 226-3300
(708) 226-4202
Mailing address
75 REMITTANCE DRIVE, SUITE 6581, ORLAND PARK, IL 60675-6581
(708) 226-3300
(708) 226-4202
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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