MEDICARE: ABIGAIL EVE LEVIN LCSW

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	1041C0700X	Clinical Social Worker	149019918	IL

General Provider Information

NPI Number	:	1033616933
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABIGAIL EVE LEVIN LCSW

Provider Business Mailing Address
First Line	:	680 N LAKE SHORE DR STE 110
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-3496
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2835 N SHEFFIELD AVE STE 402
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-5084
Country	:	US
Telephone Number	:	847-767-1453
Fax Number	:

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

Provider Enumeration Date	:	04/09/2018
Last Update Date	:	12/10/2025

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