Individual
MR. ANDREY I PARVANOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
47 SYLVAN CT, ELK GROVE VILLAGE, IL 60007
(312) 898-8085
Mailing address
47 SYLVAN CT, ELK GROVE VILLAGE, IL 60007-3565
(312) 898-8085
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-011637
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3049325227
BCBS
IL
Enumeration date
02/01/2007
Last updated
12/23/2018
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