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General NPI Number Information
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NPI Number | 1033234513
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Entity Type | Organization
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Legal Business Name | ROBERT A. LEVINE, M.D., S.C.
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 111 N WABASH AVE 2102
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City | CHICAGO
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State | IL
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Zip | 60602-1903
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Country | US
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Telephone | 312-332-2889
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Fax | 312-236-0987
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Provider Business Mailing Address
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Address Line | 111 N WABASH AVE 2102
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City | CHICAGO
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State | IL
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Zip | 60602-1903
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Country | US
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Telephone | 312-332-2889
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Fax | 312-236-0987
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT A. LEVINE
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Credential | M.D.
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Telephone | 312-332-2889
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State | IL
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