PAVAN KUMAR SRIVASTAVA

CHICAGO, IL
NPI1841404373
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: IL  036125749)
Additional Taxonomies208000000X Pediatrics
(Licence: IL  036125749)
Enumeration Date2007-05-10
Last Update Date2013-04-17
Business Address
-- PAVAN KUMAR SRIVASTAVA M.D.
1801 W TAYLOR ST CLINIC 3AA
CHICAGO, IL 60612-4795
Phone number: 312-413-3627
Mailing Address
-- PAVAN KUMAR SRIVASTAVA M.D.
840 S WOOD ST MC 718
CHICAGO, IL 60612-4325
Phone number: