Provider Demographics
NPI:1669454658
Name:PAVLOVIC, ZIVOJIN (MD)
Entity Type:Individual
Prefix:DR
First Name:ZIVOJIN
Middle Name:
Last Name:PAVLOVIC
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:7301 N LINCOLN AVE
Mailing Address - Street 2:STE 183
Mailing Address - City:LINCOLNWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60712-1736
Mailing Address - Country:US
Mailing Address - Phone:224-766-7669
Mailing Address - Fax:847-674-0892
Practice Address - Street 1:7301 N LINCOLN AVE
Practice Address - Street 2:STE 183
Practice Address - City:LINCOLNWOOD
Practice Address - State:IL
Practice Address - Zip Code:60712-1736
Practice Address - Country:US
Practice Address - Phone:224-766-7669
Practice Address - Fax:847-674-0892
Is Sole Proprietor?:No
Enumeration Date:2005-11-16
Last Update Date:2016-06-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL0360619762085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology