Individual
DR. ELLIOT MARK LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4646 N MARINE DR FL 4, CHICAGO, IL 60640-5759
(773) 564-6025
Mailing address
3000 N HALSTED ST, STE 500, CHICAGO, IL 60657-5194
(773) 362-7565
(773) 362-7568
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
036059593
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036059593
—
IL
Enumeration date
07/17/2006
Last updated
09/20/2021
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