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Individual
JONATHAN M LEVINE
Active
Individual
JONATHAN M LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
036169361
IL
2085R0202X
Diagnostic Radiology Physician
036.169361
IL
2085R0202X
Diagnostic Radiology Physician
A176639
CA
208600000X
Surgery Physician
125.072437
IL
Other
Enumeration date
02/16/2015
Last updated
08/06/2024
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