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NPI Code Detail

MEDICARE: SHARLA KAY LEVY

MEDICARE:   SHARLA KAY LEVY
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
1101YM0800XMental Health CounselorIL

General Provider Information

NPI Number : 1457563546
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARLA KAY LEVY
Provider Business Mailing Address
First Line : 7120 N MILWAUKEE AVE
Second Line : 208
City : NILES
State : IL
Zip : 60714-4491
Country : US
Telephone Number : 847-588-2236
Fax Number :
Provider Business Practice Location Address
First Line : 5547 N RAVENSWOOD AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60640-1125
Country : US
Telephone Number : 773-769-4313
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2007
Last Update Date : 07/08/2007

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Directions to “ SHARLA KAY LEVY ” Practice Location

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