Individual
DR. JAMES H HLAVACEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 MID AMERICA PLZ, SUIE 720, OAKBROOK TERRACE, IL 60181-4451
(630) 571-0055
(630) 571-1335
Mailing address
2001 BUTTERFIELD RD, STE 300, DOWNERS GROVE, IL 60515-1050
(630) 725-2700
(630) 725-2783
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
036-060125
IL
208600000X
Surgery Physician
036060125
IL
2086S0129X
Vascular Surgery Physician
036060125
IL
208D00000X
General Practice Physician
Primary
036060125
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036060125
—
IL
01
—
36060125
LICENSE
IL
01
—
789510
GROUP MEDICARE PTAN
IL
01
—
789511
GROUP MEDICARE PTAN
IL
01
—
P00930
INDIVIDUAL MEDICARE #
—
Enumeration date
07/17/2006
Last updated
06/22/2015
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