Provider Demographics
NPI:1861646945
Name:ALIPOSA, LEVI SINGZON
Entity Type:Individual
Prefix:
First Name:LEVI
Middle Name:SINGZON
Last Name:ALIPOSA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3313 W SUNNYSIDE AVE
Mailing Address - Street 2:UNIT 3A
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60625-5409
Mailing Address - Country:US
Mailing Address - Phone:773-491-2810
Mailing Address - Fax:773-539-0294
Practice Address - Street 1:7833 S KILBOURN AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60652-1105
Practice Address - Country:US
Practice Address - Phone:773-581-4691
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-16
Last Update Date:2008-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator