# JONATHAN M LEVINE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1316338072
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085B0100X | Body Imaging Physician | 036169361 | IL | Yes |
| 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