Organization
LEVINE GYNECOLOGY OF CHICAGO, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLIOT M. LEVINE M.D. (PRESIDENT)
(312) 771-0171
Entity
Organization
Contact information
Practice address
3000 N HALSTED ST, SUITE 625, CHICAGO, IL 60657-5188
(773) 296-3450
Mailing address
3000 N HALSTED ST STE 500, CHICAGO, IL 60657-5194
(773) 362-7565
(773) 362-7568
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Enumeration date
06/09/2010
Last updated
12/22/2020
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