Pacold, Ivan

Pacold, Ivan is an individual health care provider with primary practice located at 2160 S 1St Ave (1950 S. Harlem Ave., North Riverside, Il. 60546), Maywood IL 60153. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Pacold, Ivan can be contacted via phone (708) 354-9250.

Contact Information

Primary practice address
2160 S 1St Ave (1950 S. Harlem Ave., North Riverside, Il. 60546) Maywood IL 60153
Phone: (708) 354-9250
Fax: (708) 354-8765
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 36059612 Illinois

Profile Details

NPI number 1992784094
LBN Legal business name Pacold, Ivan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
Last updated Mar 4th, 2010 - about 16 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 1992784094 NPPES
Illinois MEDICAID 36059612

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