Individual provider · Type 1 NPI

Joanne Sim Bavelis, PAC

Medical Physician Assistant · Chicago, IL

NPI number 1063406718 Active

Practice location

676 N Saint Clair St, 19th Floor
Chicago, IL 60611-2927

Call (312) 926-3205 Map

Fax (312) 695-0042

Mailing address

777 N Michigan Ave, Apt 2301
Chicago, IL 60611-2617

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X085001689 (IL)

Medical Physician Assistant: Definition to come...

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About NPI 1063406718

Joanne Sim Bavelis, PAC's National Provider Identifier is 1063406718, issued on Sep 8, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Chicago, IL. The record was last updated on Dec 29, 2010.