Individual
DR. PETER C LEVISAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 E 1ST ST, SPRING VALLEY, IL 61362-1512
(815) 664-1495
Mailing address
8 W US HIGHWAY 6, PERU, IL 61354-2900
(815) 223-5288
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036-115225
IL
2085R0202X
Diagnostic Radiology Physician
47107-020
WI
Other
Enumeration date
05/12/2006
Last updated
05/28/2013
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