Pavlovsky, Stanislav I

Pavlovsky, Stanislav I is an individual health care provider with primary practice located at 1401 W Dundee Rd Suite 202, Buffalo Grove IL 60089-4055. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Pavlovsky, Stanislav I can be contacted via phone (847) 818-7700.

Contact Information

Primary practice address
1401 W Dundee Rd Suite 202 Buffalo Grove IL 60089-4055
Phone: (847) 818-7700
Fax: (847) 818-1718
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 036098316 Illinois

Profile Details

NPI number 1003996299
LBN Legal business name Pavlovsky, Stanislav I
Credentials MD PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Aug 7th, 2009 - about 15 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 1003996299 NPPES
Illinois MEDICAID 036098316
Illinois Other 0021623087

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