Levy, Nicole Boniquit

Levy, Nicole Boniquit is an individual health care provider with primary practice located at 2450 Wolf Rd Ste F, Westchester IL 60154-5643. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is her primary health care specialty. Levy, Nicole Boniquit can be contacted via phone (708) 236-2673.

Contact Information

Primary practice address
2450 Wolf Rd Ste F Westchester IL 60154-5643
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 125061401 Illinois
Allopathic & Osteopathic Physicians / Sports Medicine 2080S0010X 036141341 Illinois

Profile Details

NPI number 1447513338
LBN Legal business name Levy, Nicole Boniquit
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2012
Last updated Feb 25th, 2019 - 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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