Yavitz, Edward
Yavitz, Edward is an individual health care provider with primary practice located at 4105 North Perryville Rd , Loves Park IL 61111. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Yavitz, Edward can be contacted via phone (815) 395-8338.Contact Information
Primary practice address
4105 North Perryville Rd
Loves Park IL 61111
Phone: (815) 395-8338
Fax: (815) 394-4311
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | S6064088 | Illinois |
Profile Details
| NPI number | 1902878358 |
|---|---|
| LBN Legal business name | Yavitz, Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 1st, 2006 |
| Last updated | Apr 4th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902878358 | NPPES |
| Illinois | Other | 036064088 | ILLINOIS STATE LICENSE |
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