Mark Levin, MD
Individual provider Active NPI Infectious Disease Physician · Burr Ridge, IL
NPI 1831117142 · NPPES record last updated Oct 13, 2015
Key facts
- NPI
- 1831117142
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Infectious Disease Physician 207RI0200X
- License
- 036-062441 (IL)
- Practice address
- 901 McClintock Dr
202
Burr Ridge, IL 60527-0871 - Phone
- (888) 220-6432
- Fax
- (630) 734-4715
- NPI assigned
- Jul 17, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-062441 | IL | MD | Infectious Disease Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 036-062441 | IL | Yes |
Addresses
Primary practice location
901 McClintock Dr
202
Burr Ridge, IL 60527-0871
Mailing address
901 McClintock Dr
202
Burr Ridge, IL 60527-0871
Phone (888) 220-6432
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036062441 | Medicaid | IL |
Other providers in Burr Ridge, IL
- Leonard Wanta SC
- Lisa Marie Leonard
- Erin Leone
- Lucille A Lester
- David N Levin
- Morgan Levy
- Hannah Catherine Lichota
- Jennifer Liedel
- Life Behavior Support
- Mark W Lingen
All providers in Burr Ridge, IL · Infectious Disease Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 13, 2015. 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.