Bavelis, Joanne Sim

Bavelis, Joanne Sim is an individual health care provider with primary practice located at 676 N Saint Clair St 19Th Floor, Chicago IL 60611-2927. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Bavelis, Joanne Sim can be contacted via phone (312) 926-3205.

Contact Information

Primary practice address
676 N Saint Clair St 19Th Floor Chicago IL 60611-2927
Phone: (312) 926-3205
Fax: (312) 695-0042
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 085001689 Illinois

Profile Details

NPI number 1063406718
LBN Legal business name Bavelis, Joanne Sim
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2005
Last updated Dec 29th, 2010 - about 14 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 1063406718 NPPES
Illinois Other 776530 MEDICARE GROUP NUMBER

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