Provider Demographics
NPI:1396975900
Name:LEVIN, MURRAY LAURENCE (MD)
Entity type:Individual
Prefix:DR
First Name:MURRAY
Middle Name:LAURENCE
Last Name:LEVIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 EAST PEARSON ST.
Mailing Address - Street 2:#13B
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-2395
Mailing Address - Country:US
Mailing Address - Phone:312-751-9067
Mailing Address - Fax:
Practice Address - Street 1:210 EAST PEARSON ST.
Practice Address - Street 2:#13B
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-2395
Practice Address - Country:US
Practice Address - Phone:312-751-9067
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-16
Last Update Date:2009-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.040720207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology