Individual
BRUCE P LEVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
840 SOUTH WOOD STREET, 130 CSN, UIC DEPARTMENT OF PATHOLOGY (MC847), CHICAGO, IL 60612
(312) 413-9003
(312) 996-7586
Mailing address
840 SOUTH WOOD STREET, 130 CSN, UIC DEPARTMENT OF PATHOLOGY (MC847), CHICAGO, IL 60612
(312) 413-9003
(312) 996-7586
Taxonomy
Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
189220
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
189220
NY
Other
Enumeration date
04/01/2008
Last updated
11/02/2012
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