Healthcare Provider Details

I. General information

NPI: 1881418846
Provider Name (Legal Business Name): ISABEL LEV
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/14/2024
Last Update Date: 11/14/2024
Certification Date: 11/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1875 DEMPSTER ST STE 110
PARK RIDGE IL
60068-1125
US

IV. Provider business mailing address

7061 N KEDZIE AVE STE 701
CHICAGO IL
60645-2861
US

V. Phone/Fax

Practice location:
  • Phone: 847-897-9010
  • Fax:
Mailing address:
  • Phone: 847-897-9010
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: