Individual
TONI MARIE LEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1036 W STEPHENSON ST, FREEPORT, IL 61032-4865
(815) 599-7770
Mailing address
421 W EXCHANGE ST, PO BOX 268, FREEPORT, IL 61032-4008
(815) 599-7950
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
036063278
IL
207Y00000X
Otolaryngology Physician
Primary
036063278
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036063278
—
IL
Enumeration date
11/09/2006
Last updated
10/23/2017
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