Individual
ELI LAVIE
Active
Individual
ELI LAVIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
36077799
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04915267
BLUE CROSS BLUE SHIELD
IL
01
—
060061877
RAILROAD MEDICARE
IL
05
—
36077799
—
IL
01
—
K05845
MEDICARE PIN LOCALITY 16
IL
01
—
L84678
MEDICARE PIN LOCALITY 15
IL
Enumeration date
07/16/2006
Last updated
12/08/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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