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NPI Code Detail

MEDICARE: DR. DAVID LIVINGSTON

MEDICARE:  DR. DAVID  LIVINGSTON
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
12085D0003XDiagnostic Neuroimaging (Radiology) Physician036.177909IL
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1902469000
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID LIVINGSTON
Provider Business Mailing Address
First Line : 1653 W CONGRESS PKWY
Second Line :
City : CHICAGO
State : IL
Zip : 60612-3833
Country : US
Telephone Number : 312-942-5000
Fax Number :
Provider Business Practice Location Address
First Line : 1653 W CONGRESS PKWY
Second Line :
City : CHICAGO
State : IL
Zip : 60612-3833
Country : US
Telephone Number : 312-942-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2019
Last Update Date : 03/05/2026

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Directions to “ DR. DAVID LIVINGSTON ” Practice Location

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