Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 336062037 | IL |
NPI | 1033166483 |
---|---|
Provider Name | Dr. Barry E Levy |
First Address | Orland Park, IL 60467-5653 |
Second Address | Orland Park, IL 60467-5653 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2006 |
Last Update Date | 13/05/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C39374 | (02) | IL |