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Individual

ELYNNOR PAVLOVICS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
2525 S MICHIGAN AVE, CHICAGO, IL 60616-2333
(312) 567-5554
(312) 567-2079
Mailing address
2525 SOUTH MICHIGAN, CHICAGO, IL 60616
(312) 567-5554
(312) 567-2079

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070017755
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0140158
MEDICARE GROUP
IL
01
01621679
BCBS
IL
01
070017755
PT LICENSE
IL
Enumeration date
08/26/2010
Last updated
08/26/2010
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