MITCHELL S BLIVAISS

EVANSTON, IL
NPI1730254434
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: IL  036055083)
Enumeration Date2006-11-21
Last Update Date2007-07-08
Business Address
-- MITCHELL S BLIVAISS MD
909 DAVIS ST SUITE 200
EVANSTON, IL 60201-3645
Phone number: 847-866-3700
Mailing Address
-- MITCHELL S BLIVAISS MD
2650 RIDGE AVE EVANSTON HOSPITAL
EVANSTON, IL 60201-1718
Phone number: 847-570-1206
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