Individual
MICHELLE LEVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
600 W ROOSEVELT RD # 2E, CHICAGO, IL 60607-4912
(312) 588-5050
Mailing address
10 E ONTARIO ST APT 1805, CHICAGO, IL 60611-4764
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
017268-1
NY
225X00000X
Occupational Therapist
Primary
056.010063
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13-3990897
TAX ID
NY
Enumeration date
04/09/2012
Last updated
05/17/2013
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