MEDICARE: DR. ANDREW BELAVIC JR. M.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	036075835	IL
2	207LP2900X	Pain Medicine (Anesthesiology) Physician	036075835	IL

General Provider Information

NPI Number	:	1841226776
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREW BELAVIC JR. M.D

Provider Business Mailing Address
First Line	:	4901 SEARLE PKWY STE 150
Second Line	:
City	:	SKOKIE
State	:	IL
Zip	:	60077-5320
Country	:	US
Telephone Number	:	847-982-3363
Fax Number	:	847-733-5315

Provider Business Practice Location Address
First Line	:	155 E BRUSH HILL RD
Second Line	:
City	:	ELMHURST
State	:	IL
Zip	:	60126
Country	:	US
Telephone Number	:	331-221-1000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2006
Last Update Date	:	06/17/2026

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