Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | IL |
NPI | 1528166626 |
---|---|
Provider Name | Dr. Seth Levrant |
First Address | Oak Park, IL 60302-2243 |
Second Address | Tinley Park, IL 60477 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E88690 | (02) | IL |