JOSEPH R LEVENTHAL MD NPI 1124050406

NPI Information

NPI: 1124050406
Provider Name: JOSEPH R LEVENTHAL, MD
Classification: Transplant Surgery - 204F00000X
Entity Type: Individual
Organization: NORTHWESTERN MEDICAL FACULTY FOUNDATION

PECOS Registration: Yes

Address:
676 N SAINT CLAIR ST FL 19
CHICAGO, IL
ZIP 60611
Phone: (312) 695-8900
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Joseph R Leventhal, MD is a transplant surgery in Chicago, IL with 37 years of experience. The provider is definition to come. Joseph R Leventhal, MD NPI is 1124050406. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduation Year:1987

The provider's business location address is:

676 N SAINT CLAIR ST FL 19
CHICAGO, IL
ZIP 60611-927
Phone: (312) 695-8900
Fax: (312) 695-9194

The NPI 1124050406 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/7/2006 and was last updated on 2/12/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	204F00000X	Transplant Surgery		036092684	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	036092684	MEDICAID	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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