Organization
FRED M LEVIN MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRED M LEVIN M.D. (PRESIDENT)
(312) 236-6675
Entity
Organization
Contact information
Practice address
111 N. WABASH AVENUE, SUITE 1022, CHICAGO, IL 60602-1903
(312) 236-6675
Mailing address
111 N. WABASH AVENUE, SUITE 1022, CHICAGO, IL 60602-1903
(312) 236-6675
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
036.042517
IL
2084N0400X
Neurology Physician
036.042517
IL
2084P0015X
Psychosomatic Medicine Physician
036.042517
IL
2084P0800X
Psychiatry Physician
Primary
036.042517
IL
2084P0802X
Addiction Psychiatry Physician
036.042517
IL
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
036.042517
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036.142517
STATE OF ILLINOIS DEPT. OF PROFESSIONAL REGULATION LICENSE
IL
01
—
1982774675
NPI - TYPE I NUMBER
IL
Enumeration date
01/20/2012
Last updated
02/02/2012
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