# JOHN STELIOS LEVENTIS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669833539
- **Authorized official:** MR. JOHN STELIOS LEVENTIS M.D. (PHYSICIAN/OWNER)
- **Authorized official phone:** (847) 244-4446

## Contact information

- **Practice address:** 35 TOWER CT STE I, GURNEE, IL 60031-5712
- **Practice address phone:** (847) 244-4446
- **Practice address fax:** (847) 244-4445
- **Mailing address:** 35 TOWER CT STE I, GURNEE, IL 60031-5712
- **Mailing address phone:** (847) 244-4446
- **Mailing address fax:** (847) 244-4445

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 036089868 | IL | Yes |

## Other

- **Enumeration date:** 03/18/2016
- **Last updated:** 03/18/2016