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NPI Code Detail

MEDICARE: JOHN LEVINSON

MEDICARE: JOHN LEVINSON
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
1207R00000XInternal Medicine Physician125079248IL
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1629659388
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN LEVINSON
Provider Business Mailing Address
First Line : 2160 S 1ST AVE
Second Line :
City : MAYWOOD
State : IL
Zip : 60153-3328
Country : US
Telephone Number : 888-584-7888
Fax Number :
Provider Business Practice Location Address
First Line : 2160 S 1ST AVE
Second Line :
City : MAYWOOD
State : IL
Zip : 60153-3328
Country : US
Telephone Number : 609-332-5438
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2021
Last Update Date : 02/19/2026

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Directions to “ JOHN LEVINSON ” Practice Location

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