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MITCHELL S BLIVAISS MD
NPI 1730254434
Pediatrics in Evanston, IL

Active since November 21, 2006
909 DAVIS ST, SUITE 200, EVANSTON, IL 60201(847) 866-3700(847) 866-3731 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mitchell S Blivaiss Md NPPES

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

MITCHELL S BLIVAISS MD (NPI 1730254434) is an individual pediatrics provider in Evanston, Illinois and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1730254434
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameMITCHELL S BLIVAISSCredential: MD
Location Address909 DAVIS ST, SUITE 200Evanston, IL 60201-3645
Mailing Address2650 Ridge Ave, Evanston HospitalEvanston, IL 60201-1718 · (847) 570-1206 · Fax (847) 570-1248
Phone(847) 866-3700
Fax(847) 866-3731
Sole ProprietorNo
Enumeration DateNovember 21, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1730254434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
909 DAVIS ST, Evanston, IL 60201
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Other Identifiers 1

Medicare UPINE24374

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.

AFREEN NAZ PAPA MD
Internal Medicine
909 DAVIS ST
EVANSTON, IL 60201
Cook County (847) 866-3700
ERIC O FERNANDEZ MD
Family Medicine
909 DAVIS ST
EVANSTON, IL 60201
Cook County (847) 982-6710
CLAIRE PARMENTER DPT
Physical Therapist
909 DAVIS ST, SUITE 220
EVANSTON, IL 60201
Cook County (847) 733-7906
DR. MARIAM R MOURAD PH.D.
Psychologist (Clinical)
909 DAVIS ST, SUITE 160
EVANSTON, IL 60201
Cook County (847) 425-6445
JENNIFER WRIGHT BS
Physical Therapy Assistant
909 DAVIS ST, STE 220
EVANSTON, IL 60201
Cook County (847) 733-7906
DAVID BELLISARIO DPT
Physical Therapist
909 DAVIS ST, SUITE 220
EVANSTON, IL 60201
Cook County (847) 733-7906
DANIEL GIACOMO MD
Psychiatry & Neurology (Psychiatry)
909 DAVIS ST, SUITE 160
EVANSTON, IL 60201
Cook County (847) 425-6400
TEDDY HSU OT
Occupational Therapist
909 DAVIS ST, STE 220
EVANSTON, IL 60201
Cook County (847) 733-7906

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 Mitchell Blivaiss's NPI number?

The NPI number for Mitchell Blivaiss is 1730254434. It was assigned to this individual provider in the NPPES registry on November 21, 2006.

Where is Mitchell Blivaiss located?

Mitchell Blivaiss practices at 909 Davis St Suite 200, Evanston, IL 60201. The listed phone number is (847) 866-3700.

What is Mitchell Blivaiss's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Mitchell Blivaiss was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.