| Pinnacle Woundcare, LLC | |
|
1431 Opus Place Suit # 110 Downers Grove IL 60515 | |
| (224) 315-8593 | |
| Not Available |
| Full Name | Pinnacle Woundcare, LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1431 Opus Place, Downers Grove, Illinois |
| Authorized Official Name and Position | Zivojin Pavlovic (ADMINISTRATOR) |
| Authorized Official Contact | 2243158486 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pinnacle Woundcare, LLC 3926 W Touhy Ave Ste 372 Lincolnwood IL 60712-1028 | Pinnacle Woundcare, LLC 1431 Opus Place Suit # 110 Downers Grove IL 60515 Ph: (224) 315-8593 |
| NPI Number | 1043091093 |
|---|---|
| Provider Enumeration Date | 10/06/2023 |
| Last Update Date | 10/30/2023 |
| Certification Date | 10/30/2023 |
| Medicare PECOS PAC ID | 6002267515 |
|---|---|
| Medicare Enrollment ID | O20240109004073 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043091093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Zivojin S Pavlovic |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669454658 PECOS PAC ID: 7810980240 Enrollment ID: I20040403000044 |
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