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Individual

DR. GABRIEL S LEVI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5616 N WESTERN, CHICAGO, IL 60659
(773) 878-6233
(773) 878-2688
Mailing address
5616 N WESTERN, CHICAGO, IL 60659
(773) 878-6233
(773) 878-2688

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036120934
IL
207X00000X
Orthopaedic Surgery Physician
125048185
IL
207X00000X
Orthopaedic Surgery Physician
252857
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
36120934
IL
Enumeration date
01/13/2008
Last updated
01/23/2013
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