Individual
GNEL PIVAZYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
259 E ERIE ST STE 1450, CHICAGO, IL 60611-3947
(312) 695-7746
(312) 694-6387
Mailing address
3800 RESERVOIR RD NW # 7PHC, WASHINGTON, DC 20007-2113
(202) 444-4972
(202) 444-7333
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
036175787
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2018
Last updated
07/18/2025
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