MEDICARE: DR. DEBRA ANNE LEVINTHAL DPM

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
1	213E00000X	Podiatrist	016004528	IL

General Provider Information

NPI Number	:	1992799480
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEBRA ANNE LEVINTHAL DPM

Provider Business Mailing Address
First Line	:	1450 PLAINFIELD RD STE 6
Second Line	:
City	:	DARIEN
State	:	IL
Zip	:	60561-5944
Country	:	US
Telephone Number	:	630-218-0014
Fax Number	:

Provider Business Practice Location Address
First Line	:	1450 PLAINFIELD RD STE 6
Second Line	:
City	:	DARIEN
State	:	IL
Zip	:	60561-5944
Country	:	US
Telephone Number	:	630-218-0014
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/12/2005
Last Update Date	:	06/25/2019

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