Individual
MR. BENJAMIN LEVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
645 S CENTRAL AVE, CHICAGO, IL 60644-5059
(773) 854-5072
Mailing address
645 S CENTRAL AVE, CHICAGO, IL 60644-5059
(773) 854-5097
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149.020187
LCSW LICENSE
IL
Enumeration date
04/02/2018
Last updated
05/24/2023
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