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
Fax: (630) 323-8657
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487673448 NPPES
Other 0221524519 BLUE CROSS BLUE SHIELD
MEDICAID 036100792 BLUE CROSS BLUE SHIELD

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