Individual
THOMAS PAVLOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1875 DEMPSTER ST, #604, PARK RIDGE, IL 60068-1186
(847) 696-1200
(847) 696-1203
Mailing address
1875 DEMPSTER ST, #604, PARK RIDGE, IL 60068-1186
(847) 696-1200
(847) 696-1203
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036041714
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036041714
—
IL
01
—
4901064
BCBS
IL
Enumeration date
11/22/2006
Last updated
12/20/2021
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