Individual
DENNIS JOEL LEVINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
611 W ROOSEVELT RD, CHICAGO, IL 60607-4911
(312) 674-4010
(312) 674-4001
Mailing address
PO BOX 2013, GLENVIEW, IL 60025-6013
(312) 674-4010
(312) 674-4001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036042103
IL
207RR0500X
Rheumatology Physician
036042103
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036042103
—
IL
01
—
21606301
BLUE CROSS/BLUS SHIELD
IL
01
—
990013079
RR MEDICARE
—
Enumeration date
02/02/2006
Last updated
12/23/2021
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