Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Pavel Polinovsky, PA-C

Individual provider Surgical Physician Assistant · NPI 1083900195

Mr. Pavel Polinovsky, PA-C is a Physician Assistant in Chicago, Illinois. Graduated from Mercer University School of Medicine in 2011, 15 years ago. Practices with Northwestern Medical Faculty Foundation, a 4,394-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
15
Trained at
Mercer University School of Medicine
Licensed in
IL
In the registry since
2011
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

675 N St Clair St Ste 20-100 Galter Pavilion
Chicago, IL 60611
Phone: (312) 695-1920
Fax: (312) 695-5747
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085004046 (IL)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 085004046 (IL)

Record details

NPI number1083900195
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 27, 2011
Last updated in NPPESAugust 27, 2025
Certification dateAugust 27, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolMERCER UNIVERSITY SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Northwestern Medical Faculty Foundation — 4394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations15 on file with Medicare

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