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Individual

THOMAS N LEVIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10837 S CICERO AVE STE 200, OAK LAWN, IL 60453-6459
(708) 636-7575
(708) 636-6193
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
036-080202
IL
207RI0011X
Interventional Cardiology Physician
Primary
036-080202
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
060053362
RRMC-LOCALITY 16
IL
01
1316998578
NPI GROUP PRACTICE
IL
01
1616378
BCBS
IL
01
4659187
AETNA
IL
01
L69404
MEDICARE PIN-LOCALITY 15
IL
01
L69829
MEDICARE PIN-LOCALITY 16
IL
Enumeration date
06/02/2006
Last updated
03/10/2025
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