Levine, Laurence Adan

Levine, Laurence Adan is an individual health care provider with primary practice located at 1725 W Harrison Suite 352, Chicago IL 60612. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Levine, Laurence Adan can be contacted via phone (312) 563-5000.

Contact Information

Primary practice address
1725 W Harrison Suite 352 Chicago IL 60612
Phone: (312) 563-5000
Fax: (312) 563-5007
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 036 075314 Illinois

Profile Details

NPI number 1922072131
LBN Legal business name Levine, Laurence Adan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Jul 12th, 2019 - about 7 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 1922072131 NPPES
Illinois MEDICAID 36075314

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