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AVNI DERVISHI
NPI 1265010045
Internal Medicine in Park Ridge, IL

Active since April 01, 2021
1775 BALLARD RD, PARK RIDGE, IL 60068(847) 318-9340 Get Directions Write a Review

NPPES record last updated: June 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 14, 2021, Apr 7, 2021, Apr 1, 2021 (3 updates tracked since 2021).

About Avni Dervishi NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVNI DERVISHI (NPI 1265010045) is an individual internal medicine provider in Park Ridge, Illinois, licensed in Illinois (125.078664) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1265010045
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameAVNI DERVISHI
Location Address1775 BALLARD RDPark Ridge, IL 60068-1005
Mailing Address1775 Ballard RdPark Ridge, IL 60068-1005 · (847) 318-9340
Phone(847) 318-9340
Sole ProprietorNo
Enumeration DateApril 1, 2021
Last NPPES UpdateJune 14, 20213 updates tracked since enumeration
NPPES CertifiedJune 14, 2021
✔ NPI 1265010045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 125.078664
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1775 BALLARD RD, Park Ridge, IL 60068
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIELLE ALYSSA WALES MD
Family Medicine
1775 BALLARD RD
PARK RIDGE, IL 60068
Cook County (847) 318-6020
ASHLEY ROSE ROBINSON DO
Student in an Organized Health Care Education/Training Program
1775 BALLARD RD
PARK RIDGE, IL 60068
Cook County (847) 318-9340
KEVIN LIN DO
Internal Medicine
1775 BALLARD RD
PARK RIDGE, IL 60068
Cook County (847) 318-9340
KRUTIL PATEL
Internal Medicine
1775 BALLARD RD
PARK RIDGE, IL 60068
Cook County (847) 318-9340
AYESHA LIAQUAT MD
Student in an Organized Health Care Education/Training Program
1775 BALLARD RD
PARK RIDGE, IL 60068
Cook County (847) 318-9340
WILLIAM D. RHOADES D.O.
Internal Medicine (Geriatric Medicine)
1775 BALLARD RD
PARK RIDGE, IL 60068
Cook County (847) 318-2500
MARYANN KELLY M.D.
Internal Medicine
1775 BALLARD RD
PARK RIDGE, IL 60068
Cook County (847) 318-9340
DR. JOSIAH ESCHBACH DO
Internal Medicine
1775 BALLARD RD
PARK RIDGE, IL 60068
Cook County (847) 318-9340

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Avni Dervishi's NPI number?

The NPI number for Avni Dervishi is 1265010045. It was assigned to this individual provider in the NPPES registry on April 1, 2021.

Where is Avni Dervishi located?

Avni Dervishi practices at 1775 Ballard Rd, Park Ridge, IL 60068. The listed phone number is (847) 318-9340.

What is Avni Dervishi's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Avni Dervishi was last updated on June 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.