NPIMap

Individual provider Active NPI

Scott A Levin, M.D.

  • Family Medicine Physician
  • Gurnee, IL
National Provider Identifier
1295779775
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036091282 Issued in IL
Practice address
6155 Grand Ave Ste 200
Gurnee, IL 60031-1651
Phone
(847) 535-7157
Fax
(224) 271-3202
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036091282 IL Primary

Addresses

Primary practice location

6155 Grand Ave Ste 200
Gurnee, IL 60031-1651

Mailing address

6155 Grand Ave Ste 200
Gurnee, IL 60031-1651
Phone (847) 535-7157

Other practice location 1

1 Erie Ct
Suite 6160
Oak Park, IL 60302-2566
Phone (708) 763-1490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100323000703 IL Practitioner - Family Practice 0648275669 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Tufts University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

6155 Grand Ave
Suite 200
Gurnee, IL 60031-1651
Phone (847) 535-7157

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Faculty Foundation CurrentSince Dec 1, 2023 Accepting new patients
Resilience Healthcare - Lakefront Medical Associates, LLC CurrentSince Jan 29, 2019 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Dec 1, 2023 Accepting new patients
West Suburban Medical Center Family Medicine Past Accepting new patients
Central Dupage Physician Group Family Medicine Past Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

Carol Stream, IL 60122
Phone (630) 933-3300

4646 N Marine Dr
Chicago, IL 60640
Phone (773) 564-5102

6155 Grand Ave
Ste 200
Gurnee, IL 60031

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

3 Erie Ct
Ste L500
Oak Park, IL 60302
Phone (708) 763-2536

1 Erie Ct
Ste 6160
Oak Park, IL 60302
Phone (708) 763-1490

3 Erie Ct
Oak Park, IL 60302
Phone (708) 763-6200

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1295779775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6155 GRAND AVE STE 200",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600311651",
            "telephone_number": "847-535-7157",
            "fax_number": "224-271-3202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6155 GRAND AVE STE 200",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600311651",
            "telephone_number": "847-535-7157",
            "fax_number": "224-271-3202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Erie Ct",
            "address_2": "Suite 6160",
            "address_purpose": "LOCATION",
            "city": "Oak Park",
            "state": "IL",
            "postal_code": "603022566",
            "country_code": "US",
            "telephone_number": "708-763-1490",
            "fax_number": "708-763-2394",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVIN",
        "first_name": "SCOTT",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036091282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gurnee, IL

Sources for this page

Verify at the official NPI Registry.