Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elene Dzodzuashvili

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1548132582

Elene Dzodzuashvili is a Student in an Organized Health Care Education/Training Program in Evanston, Illinois. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

355 Ridge Ave
Evanston, IL 60202-3328
Phone: (847) 316-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1548132582
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 19, 2025
Last updated in NPPESSeptember 19, 2025
Certification dateSeptember 19, 2025

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