DR. LEVI DAUGHERTY DO NPI 1730620170

NPI Information

  • NPI: 1730620170
  • Provider Name: DR. LEVI DAUGHERTY, DO
  • Classification: Surgery - 2086S0127X
  • Specialization: Trauma Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5841 S MARYLAND AVE
    CHICAGO, IL
    ZIP 60637
  • Phone: (888) 824-0200

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NPI Details

DR. Levi Daugherty, DO is a trauma surgery surgery in Chicago, IL with 9 years of experience. The provider is trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. DR. Levi Daugherty, DO NPI is 1730620170. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduation Year:2017

The provider's business location address is:

5841 S MARYLAND AVE
CHICAGO, IL
ZIP 60637-443
Phone: (888) 824-0200

The NPI 1730620170 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 3/18/2017 and was last updated on 10/24/2024.

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
12086S0102XSurgerySurgical Critical Care036170351ILLINOISNo
22086S0127XSurgeryTrauma Surgery036170351ILLINOISYes

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: 11/21/2025

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