Individual provider · Type 1 NPI

Elene Pestvenidze

Internal Medicine Physician · Evanston, IL

NPI number 1124901996 Active

Practice location

355 Ridge Ave
Evanston, IL 60202-3328

Mailing address

408 Ridge Ave Apt 20-3
Evanston, IL 60202-2827

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician Primary 207R00000X086293 (IL)

Internal Medicine Physician: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medi…

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About NPI 1124901996

Elene Pestvenidze's National Provider Identifier is 1124901996, issued on Jul 29, 2025. The primary taxonomy on file is Internal Medicine Physician (207R00000X), and the practice location is in Evanston, IL. The record was last updated on Jul 29, 2025.