Individual
MICHELLE LEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3249 OAK PARK AVE, BERWYN, IL 60402-3429
(708) 783-9100
Mailing address
9977 WOODS DR STE 100, SKOKIE, IL 60077-1057
(224) 364-2273
(847) 663-8290
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.007510
IL
Other
Enumeration date
01/21/2020
Last updated
07/19/2023
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