Levine, Susan P

Levine, Susan P is an individual health care provider with primary practice located at 8131 Lake St , River Forest IL 60305-1617. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Levine, Susan P can be contacted via phone (708) 771-5900.

Contact Information

Primary practice address
8131 Lake St River Forest IL 60305-1617
Phone: (708) 771-5900
Fax: (708) 771-7261
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X Illinois

Profile Details

NPI number 1558391060
LBN Legal business name Levine, Susan P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Jul 8th, 2007 - about 17 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 1558391060 NPPES
Illinois MEDICAID 0160259040
Illinois Other 21605846

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