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NPI Code Detail

MEDICARE: DENNIS JOEL LEVINSON M.D.

MEDICARE:   DENNIS JOEL LEVINSON  M.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
1207RR0500XRheumatology Physician036042103IL
2207R00000XInternal Medicine Physician036042103IL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2990013079OTHERRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
321606301OTHERILBLUE CROSS/BLUS SHIELD

General Provider Information

NPI Number : 1720050016
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENNIS JOEL LEVINSON M.D.
Provider Business Mailing Address
First Line : PO BOX 2013
Second Line :
City : GLENVIEW
State : IL
Zip : 60025-6013
Country : US
Telephone Number : 312-674-4010
Fax Number : 312-674-4001
Provider Business Practice Location Address
First Line : 611 W ROOSEVELT RD
Second Line :
City : CHICAGO
State : IL
Zip : 60607-4911
Country : US
Telephone Number : 312-674-4010
Fax Number : 312-674-4001
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2006
Last Update Date : 12/23/2021

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