Individual
DR. CARL ROBERT PAVEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 RANDALL RD, GENEVA, IL 60134-4200
(630) 933-4700
(630) 933-4427
Mailing address
300 RANDALL RD, GENEVA, IL 60134-4200
(630) 933-4700
(630) 933-4427
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101239540
VA
207R00000X
Internal Medicine Physician
036140577
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
036140577
IL
207RP1001X
Pulmonary Disease Physician
036140577
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036140577
—
IL
01
—
206147
MEDICARE PTAN GROUP
IL
01
—
F400305009
MEDICARE PTAN INDIVIDUAL
IL
Enumeration date
07/18/2006
Last updated
08/24/2016
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