Individual
LAURENCE ADAN LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1725 W HARRISON, SUITE 352, CHICAGO, IL 60612
(312) 563-5000
(312) 563-5007
Mailing address
1725 W HARRISON, SUITE 352, CHICAGO, IL 60612
(312) 563-5000
(312) 563-5007
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036 075314
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36075314
—
IL
Enumeration date
02/14/2006
Last updated
07/12/2019
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