Organization
JEFFREY LEVY, LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY ROBERT LEVY LCSW (OWNER)
(773) 490-2772
Entity
Organization
Contact information
Practice address
4507 N RAVENSWOOD AVE STE 104, CHICAGO, IL 60640-5218
(773) 490-2772
Mailing address
4507 N RAVENSWOOD AVE STE 104, CHICAGO, IL 60640-5218
(773) 490-2772
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/09/2018
Last updated
01/25/2021
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