Provider Demographics
NPI:1366625295
Name:LEVY, ADAM JAMES (MD)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:JAMES
Last Name:LEVY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ADAM
Other - Middle Name:JAMES
Other - Last Name:LEVAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:30 N MICHIGAN AVE
Mailing Address - Street 2:STE. 1107
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60602-3402
Mailing Address - Country:US
Mailing Address - Phone:312-236-3624
Mailing Address - Fax:312-325-5162
Practice Address - Street 1:30 N MICHIGAN AVE
Practice Address - Street 2:STE. 1107
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-3402
Practice Address - Country:US
Practice Address - Phone:312-236-3624
Practice Address - Fax:312-325-5162
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-13
Last Update Date:2014-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT390200000X207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology