Pavlatos, Andrew M

Pavlatos, Andrew M is an individual health care provider with primary practice located at 2845 N Sheridan Rd Ste 801 , Chicago IL 60657-6159. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Pavlatos, Andrew M can be contacted via phone (773) 665-6851.

Contact Information

Primary practice address
2845 N Sheridan Rd Ste 801 Chicago IL 60657-6159
Phone: (773) 665-6851
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036076195 Illinois

Profile Details

NPI number 1679576201
LBN Legal business name Pavlatos, Andrew M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Dec 29th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679576201 NPPES
Illinois MEDICAID 036076195

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