MEDICARE: DR. SVETLANA LEVINA

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	225100000X	Physical Therapist	070.018339	IL

General Provider Information

NPI Number	:	1831481621
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SVETLANA LEVINA

Provider Business Mailing Address
First Line	:	4444 OAKTON ST
Second Line	:
City	:	SKOKIE
State	:	IL
Zip	:	60076-3259
Country	:	US
Telephone Number	:	815-520-3517
Fax Number	:

Provider Business Practice Location Address
First Line	:	3344 W PETERSON AVE STE 101
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60659-3531
Country	:	US
Telephone Number	:	773-866-1234
Fax Number	:

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

Provider Enumeration Date	:	05/11/2011
Last Update Date	:	05/05/2016

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Directions to “ DR. SVETLANA LEVINA ” Practice Location

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