Individual
LEVI THOMAS MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2160 S 1ST AVE, RM. 7609, MAYWOOD, IL 60153-3328
(708) 216-8757
(708) 216-1259
Mailing address
2160 S 1ST AVE, BUILDING 102 RM 7609, MAYWOOD, IL 60153-3328
(708) 216-8757
(708) 216-1259
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125064066
IL
Other
Enumeration date
03/31/2013
Last updated
06/27/2013
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