Individual
GERALD LEE LEVISAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 E 1ST ST, SPRING VALLEY, IL 61362-1512
(815) 664-5367
(815) 664-5367
Mailing address
600 E 1ST ST, SPRING VALLEY, IL 61362-1512
(815) 664-5367
(815) 664-5204
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
3651002
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03651002
—
IL
Enumeration date
04/27/2006
Last updated
06/08/2010
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