Individual
MARC R LEVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9933 LAWLER AVE, SUITE 430, SKOKIE, IL 60077-3703
(847) 677-0780
(847) 677-0781
Mailing address
9933 LAWLER AVE, SUITE 430, SKOKIE, IL 60077-3703
(847) 677-0780
(847) 677-0781
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
036058062
IL
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
036058062
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036058062
—
IL
01
—
K52441
MEDICARE
IL
Enumeration date
06/16/2006
Last updated
04/30/2017
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