Pavel Polinovsky PA-C

NPI 1083900195 - Physician Assistant - 363AS0400X

NPI Details
NPI 1083900195
Gender Male
Enumeration Date 06/27/2011
Last Updated 02/09/2015
Entity Type Individual
Active Over 6 years ago
Practice Location
25 N WINFIELD RD
WINFIELD IL, 60190-1295, US
Phone (630) 933-4056
Fax (630) 933-4057
Business Location
25 N WINFIELD RD
WINFIELD IL, 60190-1295, US
Phone (630) 933-4056
Fax (630) 933-4057
Toxanomy
Taxonomy Code 363AS0400X
License State Illinois
License Number 085004046
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According to our database, Mr. Pavel Polinovsky PA-C NPI is 1083900195, taxonomy code is 363AS0400X and license number is 085004046, license state is located at Illinois. Pavel Polinovsky PA-C physically located at 25 N Winfield Rd, Winfield IL, 60190-1295. NPI Number Pavel Polinovsky PA-C has the Individual type.

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1083900195 NPI number is provided on an as is basis without warranty of any kind. 1083900195 is maintained by the National Plan & Provider Enumeration System. The contents of Pavel Polinovsky PA-C are for informational purposes only.