MRS. JOANNE SIM BAVELIS PAC NPI 1063406718

NPI Information

NPI: 1063406718
Provider Name: MRS. JOANNE SIM BAVELIS, PAC
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
676 N SAINT CLAIR ST
19TH FLOOR
CHICAGO, IL
ZIP 60611
Phone: (312) 926-3205
Get Directions

MRS. Joanne Sim Bavelis, PAC is a medical physician assistant in Chicago, IL. MRS. Joanne Sim Bavelis, PAC NPI is 1063406718. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

676 N SAINT CLAIR ST
19TH FLOOR
CHICAGO, IL
ZIP 60611-927
Phone: (312) 926-3205
Fax: (312) 695-0042

The enumeration date for this NPI number is 9/8/2005 and was last updated on 12/29/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	085001689	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	K25142	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS
2	P54198	MEDICARE UPIN	ILLINOIS
3	776530	OTHER	ILLINOIS	MEDICARE GROUP NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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