Individual
MEREDITH MARIE PAVICIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1801 W TAYLOR ST # MC650, CHICAGO, IL 60612-4795
(312) 413-7500
(312) 413-3856
Mailing address
820 S WOOD ST # MC808, CHICAGO, IL 60612-4325
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036-153463
IL
Other
Enumeration date
03/29/2016
Last updated
07/07/2020
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