Provider Demographics
NPI:1922153725
Name:HACHMEISTER LEVIN, ANNE (PSYD)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:HACHMEISTER LEVIN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 MONTGOMERY CT
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60015-2057
Mailing Address - Country:US
Mailing Address - Phone:847-355-5041
Mailing Address - Fax:847-729-7469
Practice Address - Street 1:1800 MONTGOMERY CT
Practice Address - Street 2:
Practice Address - City:DEERFIELD
Practice Address - State:IL
Practice Address - Zip Code:60015-2057
Practice Address - Country:US
Practice Address - Phone:847-355-5041
Practice Address - Fax:847-729-7469
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0004932552OtherBLUE CROSS BLUE SHIELD
IL0004932552OtherBLUE CROSS BLUE SHIELD