Organization
ILLINOIS PAIN SPECIALISTS, LLC
Active
Other names
Geneva Pain Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BOJAN PAVLOVIC M.D. (OWNER)
(773) 307-3009
Entity
Organization
Contact information
Practice address
1000 RANDALL RD, SUITE 225, GENEVA, IL 60134-2590
(630) 845-4099
(630) 845-4098
Mailing address
1000 RANDALL RD, SUITE 225, GENEVA, IL 60134-2590
(630) 845-4099
(630) 845-4098
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
4301089505
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036115220
MEDICAL LICENSE
IL
Enumeration date
02/04/2013
Last updated
02/04/2013
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