Healthcare Provider Details

I. General information

NPI: 1831464569
Provider Name (Legal Business Name): REBECCA ILANA LEVINSON L.C.S.W
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/13/2012
Last Update Date: 03/04/2026
Certification Date: 03/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 E ONTARIO ST APT 1911
CHICAGO IL
60611-4765
US

IV. Provider business mailing address

10 E ONTARIO ST APT 1911
CHICAGO IL
60611-4765
US

V. Phone/Fax

Practice location:
  • Phone: 312-344-3184
  • Fax:
Mailing address:
  • Phone: 312-344-3184
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number149014715
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: