Individual
DR. JAMES J PAVLOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6294 STATE HIGHWAY 154, SESSER, IL 62884
(618) 625-6979
Mailing address
PO BOX 155, CHRISTOPHER, IL 62822-0155
(618) 724-1624
(618) 724-4628
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036089862
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
027538
HAMP INSURANCE NUMBER
IL
05
—
036089862
—
IL
01
—
271458
HEALTHLINK
IL
01
—
324148
GHP
IL
01
—
370007818
RR MEDICARE NUMBER
IL
01
—
3932056
BCBS OF IL
IL
01
—
48175
GHP INSURANCE NUMBER
IL
01
—
7210895
AETNA
IL
Enumeration date
08/15/2006
Last updated
06/11/2019
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