Individual
DR. FREDRIC JEROME LEVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 E WACKER DR, SUITE 630, CHICAGO, IL 60601-1802
(312) 670-2590
(312) 644-8183
Mailing address
1 E WACKER DR, SUITE 630, CHICAGO, IL 60601-1802
(312) 670-2590
(312) 644-8183
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
3646717
IL
Other
Enumeration date
08/15/2005
Last updated
07/08/2007
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