Pavel Ivanchenko, RBT

NPI 1689578981 · on the registry since 2026 · sole proprietor

Practice

Address: 105 N Greenleaf St Ste B
Gurnee, IL 60031
Phone: (630) 465-3963
Organisation at this address: Gerard M. Goshgarian, M.D., S.C.
Greenleaf Orthopaedic Associates, S.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 43

Registry record

Primary taxonomy: 103K00000X
103K00000X
Licence states on file: NULL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-10-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois