Edwin Levin, RPH
Individual provider Active NPI Pharmacist · Glencoe, IL
NPI 1306127402 · NPPES record last updated Sep 1, 2011
Key facts
- NPI
- 1306127402
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 051025357 (IL)
- Practice address
- 353 Park Ave
Glencoe, IL 60022-1530 - Phone
- (847) 835-0387
- Fax
- (847) 835-1345
- NPI assigned
- Sep 1, 2011
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051025357 | IL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051025357 | IL | Yes |
Addresses
Primary practice location
353 Park Ave
Glencoe, IL 60022-1530
Mailing address
353 Park Ave
Glencoe, IL 60022-1530
Other providers in Glencoe, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.