Active NPI
Levine Gynecology of Chicago, S.C.
- Gynecology Physician
- Chicago, IL
National Provider Identifier
1053631390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- Legal business name
- LEVINE GYNECOLOGY OF CHICAGO, S.C.
- Practice address
- 3000 N Halsted St
Suite 625
Chicago, IL 60657-5188 - Phone
- (773) 296-3450
- NPI assigned
- Jun 9, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elliot M. Levine, M.D.
- Title
- President
- Phone
- (312) 771-0171
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | Primary |
Addresses
Primary practice location
3000 N Halsted St
Suite 625
Chicago, IL 60657-5188
Mailing address
3000 N Halsted St Ste 500
Chicago, IL 60657-5194
Phone (773) 362-7565
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276041600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1608595200000",
"number": "1053631390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 N HALSTED ST STE 500",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606575194",
"telephone_number": "773-362-7565",
"fax_number": "773-362-7568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 N HALSTED ST",
"address_2": "SUITE 625",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606575188",
"telephone_number": "773-296-3450"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEVINE GYNECOLOGY OF CHICAGO, S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-09",
"last_updated": "2020-12-22",
"certification_date": "2020-12-22",
"status": "A",
"authorized_official_last_name": "LEVINE",
"authorized_official_first_name": "ELLIOT",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "312-771-0171",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.