Healthcare Provider Details

I. General information

NPI: 1982655577
Provider Name (Legal Business Name): ELI NMI RESHEF MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2006
Last Update Date: 03/03/2026
Certification Date: 03/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 TOWER CT STE F
GURNEE IL
60031-3322
US

IV. Provider business mailing address

PO BOX 631240
CINCINNATI OH
45263-1240
US

V. Phone/Fax

Practice location:
  • Phone: 847-662-1818
  • Fax: 847-662-3001
Mailing address:
  • Phone: 847-662-1818
  • Fax: 847-662-3001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number036163836
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number036163836
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: