Doctor Name: | DR. DANIEL JOSEPH LEVINTHAL |
NPI Number: | 1497855506 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 01052671A |
Business Practice Address: | 500 Remington Blvd Bolingbrook, IL - 604404906 |
Business Phone Number: | 6303126677 |
Business Fax Number: | |
Mailing Address: | Po Box 7009, BOLINGBROOK |
State: | IL |
Postal Code: | 604407009 |
Phone Number: | 6303127865 |
Fax Number: | 6303127902 |
NPI Enumeration Date: | 09/25/2006 |
NPI Last Update Date: | 04/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 01052671A |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |