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NPI Code Detail

MEDICARE: MRS. YELENA LEVITIN M.D

MEDICARE:  MRS. YELENA  LEVITIN  M.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery Physician036097501IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
101628326OTHERILBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235279860
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. YELENA LEVITIN M.D
Provider Business Mailing Address
First Line : 129 W RAND RD
Second Line : SUITE 1
City : ARLINGTON HEIGHTS
State : IL
Zip : 60004-3142
Country : US
Telephone Number : 847-215-0530
Fax Number : 847-215-0951
Provider Business Practice Location Address
First Line : 129 W RAND RD
Second Line : SUITE 1
City : ARLINGTON HEIGHTS
State : IL
Zip : 60004-3142
Country : US
Telephone Number : 847-215-0530
Fax Number : 847-215-0951
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2007
Last Update Date : 07/27/2016

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Directions to “ MRS. YELENA LEVITIN M.D” Practice Location

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