MARC R LEVIN (NPI# 1417991621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417991621 |
| Entity Type | Individual |
| Full Name | MARC R LEVIN |
| Credential | M.D. |
| Practice Address |
9933 Lawler Ave Suite 430 Skokie IL 60077-3703 |
| Practice Telephone | 8476770780 |
| Practice Fax Number | 8476770781 |
| Mailing Telephone | 8476770780 |
| Mailing Fax Number | 8476770781 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2017-04-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | 036058062 | IL | Allopathic & Osteopathic Physicians |
| Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
036058062 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036058062 | 05 | |
| IL | MEDICARE | K52441 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164818175 | Marc A. Levin | Surgery | 55 Lake Ave N, Worcester, MA 01655-0002 | 2015-04-07 |
| 1811123441 | Marc H Levin | Ophthalmology | 795 El Camino Real, Palo Alto, CA 94301-2302 | 2009-06-10 |
| 1902814999 | Marc A Levin | Dentist | 1601 Walnut St, #1414, Phila, PA 19102 | 2006-08-04 |
| 1861423378 | Marc Stephen Levin | Internal Medicine | 4921 Parkview Pl, 8th Floor Suite C, Saint Louis, MO 63110-1032 | 2006-07-05 |
| 1619952470 | Marc A Levin | Neurological Surgery | 801 Macarthur Blvd, Ste 405, Munster, IN 46321-2919 | 2005-12-14 |
| 1174510150 | Marc W Levin | Dermatology | 1259 S Cedar Crest Blvd, Suite 100, Allentown, PA 18103-6206 | 2005-10-04 |
| 1235131749 | Marc Levin | Family Medicine | 16 E 16th St, New York, NY 10003-3105 | 2005-08-15 |
| Street Address |
9933 LAWLER AVE SUITE 430 |
| City | SKOKIE |
| State | IL |
| Zip Code | 60077-3703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992704811 | Skokie Meadows Nursing Center II | Nursing Facility/Intermediate Care Facility | 9933 Lawler Ave, Ste #350, C/o Premier Management Co, Skokie, IL 60077-3703 | 2005-07-21 |
| 1841661931 | Wendy Shorr | Durable Medical Equipment & Medical Supplies | 9933 Lawler Ave, Suite 340, Skokie, IL 60077-3773 | 2015-10-14 |
| 1861837973 | Kunnel Dental Center P.C. | Dentist | 9933 Lawler Ave, #401, Skokie, IL 60077-3703 | 2013-05-02 |
| 1093069866 | Ella Komarovsky Md | Clinic/Center | 9933 Lawler Ave, Suite 338a, Skokie, IL 60077-3703 | 2012-11-01 |
| 1376807966 | David B. Schwartz, Dds and Associates | Dentist | 9933 Lawler Ave, Skokie, IL 60077-3703 | 2012-06-27 |
| 1306114236 | Skokie Foot & Ankle Specialists, Ltd. | Podiatrist | 9933 Lawler Ave, Suite 315, Skokie, IL 60077-3703 | 2011-12-07 |
| 1467733741 | 1 Stop Homemaker Services, LLC. | In Home Supportive Care | 9933 Lawler Ave, Suite 206, Skokie, IL 60077-3703 | 2011-08-31 |
| 1346538402 | Brian Rosenblatt | Dentist | 9933 Lawler Ave, Ste# 340, Skokie, IL 60077-3703 | 2011-07-11 |
| 1841525656 | Sergey Viktorovich Dergachev | Massage Therapist | 9933 Lawler Ave, Suite 520, Skokie, IL 60077-3703 | 2009-10-12 |
| 1114178217 | Fabio Ortega Md Sc | Obstetrics & Gynecology | 9933 Lawler Ave, Suite 409, Skokie, IL 60077 | 2008-10-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740835347 | Tharani Theivakumar | Dentist | 5225 W. Touhy Ave, Skokie, IL 60077 | 2019-08-09 |
| 1780179838 | Total Renal Care Inc | Clinic/Center | 8950 Gross Point Rd Ste 300, Skokie, IL 60077 | 2018-06-29 |
| 1811481070 | Joseph Rubin | Counselor | 7929 Lincoln Ave Ste 202, Skokie, IL 60077 | 2018-06-20 |
| 1245721067 | Lipnick Orthopaedics S.c. | Orthopaedic Surgery | 4856 Oakton Street, Skokie, IL 60077 | 2018-05-29 |
| 1376034991 | Karen Bradley | Nurse Practitioner | 5143 Coyle Ave, Skokie, IL 60077 | 2018-05-21 |
| 1093217036 | Arnold Arellano | Pedorthist | 5202 Old Orchard Road, N100, Skokie, IL 60077 | 2018-03-06 |
| 1043722408 | Carolyn Mary Jarozewski I | Registered Nurse | 5250 N.old Orchard Road Suite 300, 5250 N.old Orchard Road Suite 300, Skokie, IL 60077 | 2017-10-25 |
| 1841718400 | Katie Kluga | Nurse Practitioner | 9977 Woods Drive Suite 300, Skokie, IL 60077 | 2017-09-05 |
| 1265950091 | Larry Asher Sidel | Counselor | 9530 Lamon Pl.apt 110, Skokie, IL 60077 | 2017-08-31 |
| 1578088639 | Eleni Toumplis | Pharmacist | 4955 Dempster St, Skokie, IL 60077 | 2017-08-10 |
| Find all providers in zip 60077 | ||||
| Taxonomy Code | 207WX0107X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Retina Specialist |
| An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
| Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275739518 | Retina Macula Specialists, P.C. | Ophthalmology | 550 E. Boughton Road Suite 120, Bilingbrook, IL 60440 | 2007-06-25 |
| 1447243407 | Irma Ahmed | Ophthalmology | 550 E. Boughton Rd, Suite 120, Bolingbrook, IL 60440 | 2005-08-25 |
| 1689666885 | Michael A Grassi | Ophthalmology | 1012 95th St Ste 9, Naperville, IL 60564-5040 | 2005-08-16 |
| 1376022426 | Marion Eye Centers Ltd. | Ophthalmology | 621 S 2nd St, Greenville, IL 62246-1744 | 2018-08-09 |
| 1790211381 | Reitna Institute of Illinois | Ophthalmology | 8780 W Golf Rd, Ste 304, Niles, IL 60714-5602 | 2017-05-03 |
| 1023472560 | Chirag Shah | Ophthalmology | 71 W 156th St Ste 400, Harvey, IL 60426-4265 | 2016-04-11 |
| 1598121113 | Grassi Retina Md Sc | Ophthalmology | 1012 95th St, Suite 9, Naperville, IL 60564-5041 | 2016-01-12 |
| 1366820441 | Omar Hassan | Ophthalmology | 1740 W Taylor St, Chicago, IL 60612-7232 | 2015-05-11 |
| 1235572173 | Ria Dirghayu Desai | Ophthalmology | 259 E Erie St Ste 1520, Chicago, IL 60611-3111 | 2013-04-10 |
| 1679836647 | Andrew W Francis | Ophthalmology | 303 W Lake St, Ste 303, Addison, IL 60101-2586 | 2012-06-24 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.