Individual
MARIAM PESTVENIDZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
355 RIDGE AVE, EVANSTON, IL 60202-3328
(847) 316-6228
Mailing address
419 RIDGE AVE APT H, EVANSTON, IL 60202-2852
(224) 500-9763
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
125.083823
IL
Other
Enumeration date
07/19/2024
Last updated
07/19/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us