Individual
DR. BARRY MARK LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 E HURON ST, 12-150, CHICAGO, IL 60611-3197
(312) 926-3600
(312) 926-3606
Mailing address
201 E HURON ST, 12-150, CHICAGO, IL 60611-3197
(312) 926-3600
(312) 926-3606
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036060341
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
479030
MEDICARE ID
IL
Enumeration date
09/16/2006
Last updated
02/09/2010
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