Individual
ELYNNOR PAVLOVICS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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