Provider Demographics
NPI:1598794422
Name:LEVY & OBRIEN
Entity Type:Organization
Organization Name:LEVY & OBRIEN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:LOREN
Authorized Official - Last Name:OBRIEN
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:847-945-3850
Mailing Address - Street 1:400 LAKE COOK RD
Mailing Address - Street 2:STE 119
Mailing Address - City:DEERFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60015
Mailing Address - Country:US
Mailing Address - Phone:847-945-3850
Mailing Address - Fax:847-945-9604
Practice Address - Street 1:400 LAKE COOK RD
Practice Address - Street 2:STE 119
Practice Address - City:DEERFIELD
Practice Address - State:IL
Practice Address - Zip Code:60015
Practice Address - Country:US
Practice Address - Phone:847-945-3850
Practice Address - Fax:847-945-9604
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty