{
"Npi": {
"NPI": "1982030649",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "LEVIN",
"FirstName": "RODION",
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": "NP-C",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "LEVIN",
"OtherFirstName": "RODION",
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "NP-C",
"OtherLastNameTypeCode": "2",
"FirstLineMailingAddress": "56 W DUNDEE RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BUFFALO GROVE",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60089-3758",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "224-601-5001",
"MailingAddressFaxNumber": "224-333-7063",
"FirstLinePracticeLocationAddress": "56 W DUNDEE RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BUFFALO GROVE",
"PracticeLocationAddressStateName": "IL",
"PracticeLocationAddressPostalCode": "60089-3758",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "224-601-5001",
"PracticeLocationAddressFaxNumber": "224-333-7063",
"EnumerationDate": "09/25/2013",
"LastUpdateDate": "06/21/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
"Gender": "Male",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "363LF0000X",
"TaxonomyName": "Family Nurse Practitioner",
"LicenseNumber": "209010709",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "363LF0000X",
"TaxonomyName": "Family Nurse Practitioner",
"LicenseNumber": "277000031",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}