Individual
LAWRENCE E LEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 AUSTIN EAST TOWER #460, EVANSTON, IL 60202
(847) 864-0370
(847) 864-0385
Mailing address
800 AUSTIN EAST TOWER #460, EVANSTON, IL 60202
(847) 864-0370
(847) 864-0385
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036061367
IL
Other
Enumeration date
12/27/2006
Last updated
07/23/2010
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