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Individual

DR. JOHN LAWRENCE LEVITT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
818 LAKELAND DR, SCHAUMBURG, IL 60173-6542
(847) 370-1995
(847) 517-7138
Mailing address
818 LAKELAND DR, SCHAUMBURG, IL 60173-6542
(847) 370-1995
(847) 517-7138

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
149001670
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
364006731
BLUE CROSS BLUE SHIELD
IL
Enumeration date
11/11/2006
Last updated
02/09/2012
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