MEDICARE: JOSEPH THOMAS ALLEVA MD

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	208100000X	Physical Medicine & Rehabilitation Physician	036090608	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	250011789	OTHER	IL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	1620385	OTHER	IL	BLUE SHIELD

General Provider Information

NPI Number	:	1053331074
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH THOMAS ALLEVA MD

Provider Business Mailing Address
First Line	:	2180 PFINGSTEN RD # 2000
Second Line	:
City	:	GLENVIEW
State	:	IL
Zip	:	60026-1339
Country	:	US
Telephone Number	:	847-503-4500
Fax Number	:	847-657-5754

Provider Business Practice Location Address
First Line	:	2180 PFINGSTEN RD # 2000
Second Line	:
City	:	GLENVIEW
State	:	IL
Zip	:	60026-1339
Country	:	US
Telephone Number	:	847-503-4500
Fax Number	:	847-657-5754

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

Provider Enumeration Date	:	07/20/2006
Last Update Date	:	04/01/2021

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Directions to “ JOSEPH THOMAS ALLEVA MD” Practice Location

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