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Individual

JONATHAN M LEVINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
676 N SAINT CLAIR ST STE 800, CHICAGO, IL 60611-2978
(312) 695-3738
Mailing address
17 HOPE ST, AUBURNDALE, MA 02466-2912

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
036169361
IL
2085R0202X
Diagnostic Radiology Physician
036.169361
IL
2085R0202X
Diagnostic Radiology Physician
A176639
CA
208600000X
Surgery Physician
125.072437
IL

Other

Enumeration date
02/16/2015
Last updated
08/06/2024
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