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NPI Code Detail

MEDICARE: DR. CYNTHIA ANN LEVIN PSY.D.

MEDICARE:  DR. CYNTHIA ANN LEVIN  PSY.D.
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
1103TC0700XClinical Psychologist071-005859IL

General Provider Information

NPI Number : 1083608343
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CYNTHIA ANN LEVIN PSY.D.
Provider Business Mailing Address
First Line : 2650 RIDGE AVE STE 1223
Second Line :
City : EVANSTON
State : IL
Zip : 60201-1700
Country : US
Telephone Number : 847-570-2040
Fax Number : 847-570-5315
Provider Business Practice Location Address
First Line : 2150 PFINGSTEN RD STE 2280
Second Line :
City : GLENVIEW
State : IL
Zip : 60026-1326
Country : US
Telephone Number : 847-425-6400
Fax Number : 847-425-6408
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2005
Last Update Date : 02/26/2026

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