Individual
DR. JUSTIN PAUL LEVISAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 CENTRAL ST STE 730, EVANSTON, IL 60201
(847) 663-8410
(847) 676-1727
Mailing address
1000 CENTRAL ST STE 730, EVANSTON, IL 60201-1779
(847) 663-8410
(847) 676-1727
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
036105254
IL
207RI0011X
Interventional Cardiology Physician
Primary
036105254
IL
Other
Enumeration date
03/25/2007
Last updated
02/11/2021
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