Individual
DR. OLGA SERGEEVNA LEAVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
225 E CHICAGO AVE, DEPARTMENT OF ANESTHESIOLOGY, BOX 19, CHICAGO, IL 60611-2991
(312) 227-5187
Mailing address
420 E SUPERIOR ST, RUBLOFF 12TH FLOOR, CHICAGO, IL 60611-4494
(312) 503-7975
(312) 503-5230
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
Primary
125061048
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2012
Last updated
04/11/2017
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