DR. JONATHAN LEVINE (NPI# 1487673448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487673448 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN LEVINE |
| Credential | MD |
| Practice Address |
700 Pasquinelli Dr Westmont IL 60559-1382 |
| Mailing Address |
40 Valley Stream Pkwy Ste 100 Malvern PA 19355-1407 |
| Practice Telephone | 6303238690 |
| Practice Fax Number | 6303238657 |
| Mailing Telephone | 6106448900 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2020-05-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
036100792 | IL | Allopathic & Osteopathic Physicians |
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
036100792 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036100792 | 05 | |
| BLUE CROSS BLUE SHIELD | 0221524519 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3011 Butterfield Rd, Suite 120, Oak Brook, IL 605231192 | 6309909729 | 6309909730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891750311 | Jonathan James Levine | Chiropractor | 3330 S Price Rd, Suite D-110, Tempe, AZ 85282-7530 | 2006-04-18 |
| 1043852957 | Jonathan Conyers Levine | Social Worker | 107 Sunnybrook Rd, Raleigh, NC 27610-1827 | 2019-10-11 |
| 1316338072 | Jonathan Marc Levine | Surgery | 240 E Huron St Ste 1-200, Chicago, IL 60611 | 2015-02-16 |
| 1659536241 | Jonathan B Levine | Dentist | 923 5th Ave, New York, NY 10021-2649 | 2008-07-23 |
| 1497812101 | Jonathan Levine | Internal Medicine | 45 Francis St, Asb-2, Boston, MA 02115-6105 | 2007-01-02 |
| 1497769509 | Jonathan L Levine | Obstetrics & Gynecology | 4 Shaws Cv, New London, CT 06320-4956 | 2006-07-27 |
| 1548283393 | Jonathan Scott Levine | Surgery | 4801 N Federal Hwy, Suite # 101, Fort Lauderdale, FL 33308-4618 | 2006-07-25 |
| 1649200064 | Jonathan D Levine | Pathology | 28 Crescent St, Middletown, CT 06457-3654 | 2006-07-03 |
| 1427085190 | Jonathan L Levine | Otolaryngology | 931 Sharit Ave, Suite 101, Gardendale, AL 35071-5003 | 2006-06-27 |
| 1013964469 | Jonathan Philip Levine | Ophthalmology | 111 E 210th St, Dept of Ophthalmology, Bronx, NY 10467-2401 | 2006-05-30 |
| Street Address |
700 PASQUINELLI DR |
| City | WESTMONT |
| State | IL |
| Zip Code | 60559-1382 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053336156 | Angelo Makris | Radiology | 700 Pasquinelli Dr, Westmont, IL 60559-1382 | 2006-07-12 |
| 1538692876 | Chicago Vascular Asc LLC | Clinic/Center | 700 Pasquinelli Dr, Westmont, IL 60559-1382 | 2017-04-04 |
| 1134406291 | Makrismd LLC | Radiology | 700 Pasquinelli Dr, Westmont, IL 60559-1382 | 2011-11-03 |
| 1134388770 | Saumil Shah | Radiology | 700 Pasquinelli Dr, Westmont, IL 60559-1382 | 2008-06-09 |
| 1972513372 | Mariann Herbert | Obstetrics & Gynecology | 700 Pasquinelli Dr, Suite B, Westmont, IL 60559-1382 | 2006-08-08 |
| 1336169093 | Gregory Souza | Nurse Anesthetist, Certified Registered | 700 Pasquinelli Dr, Westmont, IL 60559-1382 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366874 | Rachel Stoffregen | Physical Therapist | 812 East Ogden Ave, Westmont, IL 60559 | 2020-11-04 |
| 1528672581 | Kera C Evans | Counselor | 414 Plaza Dr. Suite 301, Westmont, IL 60559 | 2020-09-06 |
| 1912403023 | Bianca J Dassinger | Social Worker | 750 Pasquinelli Drive, #204, Westmont, IL 60559 | 2018-04-05 |
| 1689192163 | Jeannie Marie Gorman | Nutritionist | 310 W. Burlington Ave, Westmont, IL 60559 | 2017-09-05 |
| 1326563248 | Bethany Juby | Psychologist | 825 N Cass Ave Ste 112, Westmont, IL 60559 | 2017-08-11 |
| 1861917189 | Marisa Raineri | Physical Therapist | 750 Pasquinelli Dr., #204, Westmont, IL 60559 | 2017-08-08 |
| 1093185209 | Kristin Kalivoda | Pharmacy Technician | 2 N. Cass Avenue, Westmont, IL 60559 | 2015-09-30 |
| 1780076679 | Katherine Celine Smith | Nurse Practitioner | 1010 Executive Drive, Suite 200, Westmont, IL 60559 | 2015-03-02 |
| 1841690898 | Kimberly Libby | Physical Therapist | 801 N Cass Ave Ste 100, Westmont, IL 60559 | 2014-08-27 |
| 1083036792 | Deborah Carsten | Counselor | 460 Quail Ridge Drive, Westmont, IL 60559 | 2014-01-15 |
| Find all providers in zip 60559 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053336156 | Angelo Makris | Radiology | 700 Pasquinelli Dr, Westmont, IL 60559-1382 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588261978 | Thorek Radiology Group Nfp | Radiology | 850 West Irving Park Road, Chicago, IL 60613 | 2020-10-08 |
| 1659930998 | Howard Simon Md PC | Radiology | 446 E Ontario St Ste 106, Chicago, IL 60611-7110 | 2019-06-11 |
| 1982119319 | Vein and Vascular Centers, Sc | Radiology | 7 N Grant St Ste 1, Hinsdale, IL 60521-3366 | 2017-12-07 |
| 1114438769 | Advanced Midwest Interventional Radiology, LLC | Radiology | 1890 Silver Cross Blvd Ste 455, New Lenox, IL 60451-9546 | 2017-10-21 |
| 1528440690 | Tarek Jazmati | Radiology | 1653 W Congress Pkwy # 181, Chicago, IL 60612-3833 | 2015-06-24 |
| 1316351232 | Smg Billing, LLC | Radiology | 1105 S. Western Ave., Chicago, IL 60612 | 2014-06-18 |
| 1013270982 | Sean David Pietrini | Radiology | 1500 W Monroe St, Apartment 118, Chicago, IL 60607 | 2012-06-16 |
| 1417240102 | Sameul Hanif | Radiology | 7808 W College Dr Ste 1se, Palos Heights, IL 60463-1095 | 2011-05-27 |
| 1649563842 | Alex Edward Heaton | Radiology | 911 N Elm St Ste 128, Hinsdale, IL 60521-3640 | 2011-05-20 |
| 1932426863 | Lifeline Vascular Access Network, LLC | Radiology | Three Hawthorn Parkway, Suite 410, Vernon Hills, IL 60061-1450 | 2010-05-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.