Mariam Pestvenidze, MD
Mariam Pestvenidze, MD is a Student in an Organized Health Care Education/Training Program in Evanston, Illinois. Licensed in Illinois. Registered with an NPI since 2024.
- Licensed in
- IL
- In the registry since
- 2024
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
355 Ridge AveEvanston, IL 60202-3328
Phone: (847) 316-6228
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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 · Licence 125.083823 (IL) |
|---|
Record details
| NPI number | 1427896679 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | July 19, 2024 |
| Last updated in NPPES | July 19, 2024 |
| Certification date | July 19, 2024 |
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