Individual
MAX MONAHAN LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1535 LAKE COOK RD STE 212, NORTHBROOK, IL 60062-1451
(224) 904-3373
Mailing address
1535 LAKE COOK RD STE 212, NORTHBROOK, IL 60062-1451
(224) 904-3373
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.006969
IL
363A00000X
Physician Assistant
10002736A
IN
Other
Enumeration date
03/21/2019
Last updated
11/12/2024
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