Provider Demographics
NPI:1144069477
Name:GEFT, LIOR (JD)
Entity type:Individual
Prefix:
First Name:LIOR
Middle Name:
Last Name:GEFT
Suffix:
Gender:M
Credentials:JD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9333 HARDING AVE APT SUITE
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60203-1320
Mailing Address - Country:US
Mailing Address - Phone:847-791-8338
Mailing Address - Fax:
Practice Address - Street 1:9333 HARDING AVE APT SUITE
Practice Address - Street 2:
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60203-1320
Practice Address - Country:US
Practice Address - Phone:847-791-8338
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-24
Last Update Date:2024-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041400595163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty