Individual
ANDREW M PAVLATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2845 N SHERIDAN RD STE 801, CHICAGO, IL 60657-6159
(773) 665-6851
Mailing address
2845 N SHERIDAN RD STE 801, CHICAGO, IL 60657-6159
(773) 665-6851
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036076195
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036076195
—
IL
Enumeration date
05/27/2005
Last updated
12/29/2021
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