Leventhal, Joseph R

Leventhal, Joseph R is an individual health care provider with primary practice located at 676 N Saint Clair St Fl 19 , Chicago IL 60611-2927. He recently has only one registered license in Allopathic & Osteopathic Physicians / Transplant Surgery, which is considered as his primary health care specialty. Leventhal, Joseph R can be contacted via phone (312) 695-8900.

Contact Information

Primary practice address
676 N Saint Clair St Fl 19 Chicago IL 60611-2927
Phone: (312) 695-8900
Fax: (312) 695-9194
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Transplant Surgery 204F00000X 036092684 Illinois

Profile Details

NPI number 1124050406
LBN Legal business name Leventhal, Joseph R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Feb 12th, 2020 - about 5 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 1124050406 NPPES
Illinois MEDICAID 036092684

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