Provider Demographics
NPI:1851377113
Name:ELTERMAN, LEV (MD)
Entity Type:Individual
Prefix:DR
First Name:LEV
Middle Name:
Last Name:ELTERMAN
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 1:4959 GOLF RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60077-1537
Mailing Address - Country:US
Mailing Address - Phone:847-410-8416
Mailing Address - Fax:224-496-2424
Practice Address - Street 1:4959 GOLF RD
Practice Address - Street 2:
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60077-1537
Practice Address - Country:US
Practice Address - Phone:847-410-8416
Practice Address - Fax:224-496-2424
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-19
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036096071208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036096071Medicaid
H13407Medicare UPIN