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

Elene Pestvenidze

Individual provider Internal Medicine Physician · NPI 1124901996

Elene Pestvenidze is an Internal Medicine Physician in Evanston, Illinois. Licensed in Illinois. Registered with an NPI since 2025.

Licensed in
IL
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

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 086293 (IL)

Record details

NPI number1124901996
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 29, 2025
Last updated in NPPESJuly 29, 2025
Certification dateJuly 29, 2025
Mailing address408 Ridge Ave Apt 20-3, Evanston, IL 60202-2827

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