Provider Demographics
NPI:1245681949
Name:BEN-ZEV, JONATHAN LIRON (MD)
Entity type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:LIRON
Last Name:BEN-ZEV
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:JONATHAN
Other - Middle Name:LIRON
Other - Last Name:BEN-ZE'EV
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9697 SAINT CATHERINES DR STE 200
Mailing Address - Street 2:
Mailing Address - City:PLEASANT PRAIRIE
Mailing Address - State:WI
Mailing Address - Zip Code:53158-2118
Mailing Address - Country:US
Mailing Address - Phone:262-656-3591
Mailing Address - Fax:262-656-3591
Practice Address - Street 1:9697 SAINT CATHERINES DR STE 200
Practice Address - Street 2:
Practice Address - City:PLEASANT PRAIRIE
Practice Address - State:WI
Practice Address - Zip Code:53158-2118
Practice Address - Country:US
Practice Address - Phone:262-656-3591
Practice Address - Fax:262-656-3591
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-24
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125079381207XS0114X
WI81353207X00000X
MO2016018722207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery