Levine, Jonathan
Levine, Jonathan is an individual health care provider with primary practice located at 700 Pasquinelli Dr , Westmont IL 60559-1382. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Levine, Jonathan can be contacted via phone (630) 323-8690.Contact Information
Primary practice address
700 Pasquinelli Dr
Westmont IL 60559-1382
Phone: (630) 323-8690
Fax: (630) 323-8657
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 036100792 | Illinois |
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 036100792 | Illinois |
Profile Details
NPI number | 1487673448 |
---|---|
LBN Legal business name | Levine, Jonathan |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 19th, 2006 |
Last updated | May 28th, 2020 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1487673448 | NPPES |
Other | 0221524519 | BLUE CROSS BLUE SHIELD | |
MEDICAID | 036100792 | BLUE CROSS BLUE SHIELD |
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