Provider Demographics
NPI:1982030649
Name:LEVIN, RODION (NP-C)
Entity Type:Individual
Prefix:
First Name:RODION
Middle Name:
Last Name:LEVIN
Suffix:
Gender:M
Credentials:NP-C
Other - Prefix:
Other - First Name:RODION
Other - Middle Name:
Other - Last Name:LEVIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NP-C
Mailing Address - Street 1:137 W RAND RD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-3142
Mailing Address - Country:US
Mailing Address - Phone:224-601-5001
Mailing Address - Fax:224-333-7063
Practice Address - Street 1:137 W RAND RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-3142
Practice Address - Country:US
Practice Address - Phone:224-601-5001
Practice Address - Fax:224-333-7063
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-25
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL277000031363LF0000X
IL209010709363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily