Aristeidie Diveris
Anesthesiologist
660 N Westmoreland Rd
Lake Forest
, Illinois 60045-1659
Aristeidie Diveris
Anesthesiologist
660 N Westmoreland Rd
Lake Forest
, Illinois 60045-1659
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About
Features
Specialties
- Anesthesiologist
Languages spoken
- English
Location
First Address
- Aristeidie Diveris
- 925 Sherwood Dr
- Lake Bluff, IL
- Zip : 60044-2203
- Phone :
Second Address
- Aristeidie Diveris
- 660 N Westmoreland Rd
- Lake Forest, IL
- Zip : 60045-1659
- Phone : (847) 535-6100
Reviews
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What type of doctor is Aristeidie Diveris
In what state does Aristeidie Diveris practice in?
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Is Aristeidie Diveris a sole practitioner?
Is Aristeidie Diveris accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207L00000X | Anesthesiologist | IL |
National Provider Identifier
| NPI | 1013926112 |
|---|---|
| Provider Name | Aristeidie Diveris |
| First Address | Lake Bluff, IL 60044-2203 |
| Second Address | Lake Forest, IL 60045-1659 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/08/2006 |
| Last Update Date | 16/10/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| E19244 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.