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

Michael Lavine, MD

Individual provider Diagnostic Radiology Physician · NPI 1619943586

Michael Lavine, MD is a Diagnostic Radiology Physician in Glen Ellyn, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

430 Pennsylvania Ave
Glen Ellyn, IL 60137-4464
Phone: (630) 469-9200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 036063940 (IL)

Record details

NPI number1619943586
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 28, 2006
Last updated in NPPESOctober 2, 2019
Mailing address1860 Paysphere Cir, Chicago, IL 60674-0018

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