Levine, Brett R.

Levine, Brett R. is an individual health care provider with primary practice located at 1611 W Harrison St Ste 400, Chicago IL 60612-3841. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, which is considered as his primary health care specialty. Levine, Brett R. can be contacted via phone (312) 243-4244.

Contact Information

Primary practice address
1611 W Harrison St Ste 400 Chicago IL 60612-3841
Phone: (312) 243-4244
Fax: (312) 942-1517
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X 036113094 Illinois

Profile Details

NPI number 1578542882
LBN Legal business name Levine, Brett R.
Credentials MD, MS
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2006
Last updated Sep 18th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578542882 NPPES
Illinois Other 207073 MEDICARE PTAN LOCALITY #15
Illinois MEDICAID 036113094 1 MEDICARE PTAN LOCALITY #15
Illinois Other 207067 MEDICARE PTAN LOCALITY #15
Illinois Other DA4902 MEDICARE PTAN LOCALITY #15
Illinois Other 1633878 MEDICARE PTAN LOCALITY #15
Illinois Other P00309999 MEDICARE PTAN LOCALITY #15

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