Elliot Mark Levine, MD

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

036059593 Issued in IL

Practice address

4646 N Marine Dr FL 4
Chicago, IL 60640-5759

Phone

(773) 564-6025

NPI assigned

Jul 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/684/brand/2/csg/43/fhir/r4

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.

• Lakefront Medical Associates LLC

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1144418633

  Obstetrics & Gynecology

  NPD (past)
• VHS Acquisition Subsidiary Number 3 Inc

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1922060938

  Obstetrics & Gynecology

  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1891713939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 N HALSTED ST",
            "address_2": "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": "4646 N MARINE DR FL 4",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405759",
            "telephone_number": "773-564-6025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "ELLIOT",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "IL",
            "license": "036059593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036059593",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brett R. Levine, MD, MS
• Caitlin Sloan Levine, PA
• Courtney Levine, PA-C
• David Lawrence Levine, M.D.
• Deirdre Levine, LPC
• Emily Fitzgerald Levine, MA
• Emma Levine
• Hazel Louise Levine, FNP-BC, RN
• Jerrold S. Levine
• Jessica Levine

• Gynecology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Gynecology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.