MEDICARE: DR. ELI NMI RESHEF MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207VE0102X	Reproductive Endocrinology Physician	036163836	IL
2	207V00000X	Obstetrics & Gynecology Physician	036163836	IL

General Provider Information

NPI Number	:	1982655577
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELI NMI RESHEF MD

Provider Business Mailing Address
First Line	:	PO BOX 631240
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45263-1240
Country	:	US
Telephone Number	:	847-662-1818
Fax Number	:	847-662-3001

Provider Business Practice Location Address
First Line	:	30 TOWER CT STE F
Second Line	:
City	:	GURNEE
State	:	IL
Zip	:	60031-3322
Country	:	US
Telephone Number	:	847-662-1818
Fax Number	:	847-662-3001

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	03/03/2026

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