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General NPI Number Information
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NPI Number | 1902878358
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Entity Type | Individual
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Provider Name | EDWARD YAVITZ MD
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Gender | Male
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Dates
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Enumeration Date | 02/01/2006
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 152 N ADDISON AVE
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City | ELMHURST
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State | IL
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Zip | 60126-2821
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Country | US
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Telephone | 630-833-9621
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Fax |
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Provider Business Mailing Address
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Address Line | 100 W HIGGINS RD UNIT H35
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City | SOUTH BARRINGTON
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State | IL
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Zip | 60010-9425
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Country | US
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Telephone | 630-793-4134
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Fax | 630-833-9465
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | S6064088
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License Number State | IL
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