Individual
NELSON LOUIS LEVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
245 BUTLER DR, LAKE FOREST, IL 60045-3009
(847) 295-3720
Mailing address
245 BUTLER DR, LAKE FOREST, IL 60045-3009
(847) 295-3720
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
336.033031
IL
207T00000X
Neurological Surgery Physician
Primary
036-069036
IL
208U00000X
Clinical Pharmacology Physician
336.033031
IL
Other
Enumeration date
11/06/2009
Last updated
08/01/2012
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