MEDICARE: DENISE A LEVITAN 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	207RX0202X	Medical Oncology Physician	036-105065	IL
2	207RX0202X	Medical Oncology Physician	200400904	NC

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	137H1	OTHER	NC	BCBS
4	804596	OTHER	NC	PARTNERS
5	D6161	OTHER	NC	MEDCOST
6	7166678	OTHER		AETNA
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871572784
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENISE A LEVITAN MD

Provider Business Mailing Address
First Line	:	29373 NETWORK PL
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60673-1293
Country	:	US
Telephone Number	:	847-390-5900
Fax Number	:

Provider Business Practice Location Address
First Line	:	900 W NELSON ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-6704
Country	:	US
Telephone Number	:	773-296-7089
Fax Number	:

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

Provider Enumeration Date	:	01/10/2006
Last Update Date	:	03/25/2025

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Directions to “ DENISE A LEVITAN MD” Practice Location

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