Individual
DR. MORTON A LEVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4000 NORTH ILLINOIS, SWANSEA, IL 62226-1946
(618) 236-1000
(618) 236-1299
Mailing address
4000 NORTH ILLINOIS, SWANSEA, IL 62226-1946
(618) 236-1000
(618) 236-1299
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
036-055967
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028-0261043
—
IL
01
—
L77876
PIN
IL
Enumeration date
06/01/2005
Last updated
07/08/2007
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