Individual
ALEXIS N LEVITAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
600 W LAKE COOK RD STE 110, BUFFALO GROVE, IL 60089-2085
(847) 459-6611
Mailing address
600 W LAKE COOK RD STE 110, BUFFALO GROVE, IL 60089-2085
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
085007249
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085007249
IDFPR
IL
Enumeration date
09/04/2019
Last updated
05/09/2024
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