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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MITCHELL S BLIVAISS, MD

Active

MITCHELL S BLIVAISS, MD is a Pediatrics healthcare provider located in EVANSTON, Illinois. NPI 1730254434 is currently active in the NPPES registry. Verify at CMS.

Pediatrics · EVANSTON, IL

Registration Details

NPI Number
1730254434
Provider Type
Individual
Gender
Male
NPI Issued
Nov 21, 2006 (19.737873662172 yrs)
Last Updated
Jul 8, 2007

Practice Information

Address
909 DAVIS ST
SUITE 200
EVANSTON, IL, 602013645
Browse IL providers · Browse ZIP 60201
Phone
8478663700
Fax
8478663731
Primary Specialty
Pediatrics
208000000X

Other Pediatrics Providers in EVANSTON, IL

Name Credential NPI
DR. IRWIN BENUCK M.D. 1639179179
DR. TERI A MERENS M.D. 1174523625
DR. EDWARD S TRAISMAN M.D. 1366442766
VALERIE A KIMBALL M.D. 1598765901
DR. SHANA N CHRISTIAN MD 1487640835
DR. VIRGINIA M DEPAUL 1790771129
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.