Provider Demographics
NPI:1962502807
Name:DRS FARBY LEVIN AND ASSOCIATES LTD
Entity Type:Organization
Organization Name:DRS FARBY LEVIN AND ASSOCIATES LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:
Authorized Official - First Name:ARNOLD
Authorized Official - Middle Name:L
Authorized Official - Last Name:LEVIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:773-761-6300
Mailing Address - Street 1:3048 W PETERSON AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60659-3720
Mailing Address - Country:US
Mailing Address - Phone:773-761-6300
Mailing Address - Fax:773-761-3541
Practice Address - Street 1:3048 W PETERSON AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60659-3720
Practice Address - Country:US
Practice Address - Phone:773-761-6300
Practice Address - Fax:773-761-3541
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-22
Last Update Date:2010-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL042-000126174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL964340Medicare PIN