Individual
EDWARD YAVITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
152 N ADDISON AVE, ELMHURST, IL 60126-2821
(630) 833-9621
Mailing address
100 W HIGGINS RD UNIT H35, SOUTH BARRINGTON, IL 60010-9425
(630) 793-4134
(630) 833-9465
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
S6064088
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036064088
ILLINOIS STATE LICENSE
IL
05
—
036064088
—
IL
Enumeration date
02/01/2006
Last updated
09/02/2025
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