Individual
DR. DAVID LAWRENCE LEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1901 W HARRISON ST, SUITE 1911-DEPT OF EM, CHICAGO, IL 60612-3714
(312) 864-1520
(312) 864-9398
Mailing address
1901 W HARRISON ST, SUITE 1911-DEPT OF EM, CHICAGO, IL 60612-3714
(312) 864-1520
(312) 864-9398
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
36090767
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
L66851
—
IL
Enumeration date
08/20/2006
Last updated
07/09/2007
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