MICAH LEVINE (NPI# 1942734405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942734405 |
| Entity Type | Individual |
| Full Name | MICAH LEVINE |
| Practice Address |
1725 W Harrison St Ste 970 Chicago IL 60612-3828 |
| Practice Telephone | 3129422552 |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2020-07-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
036153413 | IL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3800 Reservoir Rd Nw, Washington, DC 200072113 | 2024448168 | 8773031460 |
| Street Address |
1725 W HARRISON ST STE 970 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612-3828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366478455 | Andrew J Stephenson | Urology | 1725 W Harrison St Ste 970, Chicago, IL 60612-3828 | 2006-06-23 |
| 1851998579 | Lia Kathryn Zappala | Physician Assistant | 1725 W Harrison St Ste 970, Chicago, IL 60612-3828 | 2020-10-06 |
| 1285260174 | Vincent Federico | Orthopaedic Surgery | 1725 W Harrison St Ste 970, Chicago, IL 60612-3828 | 2020-03-23 |
| 1538664784 | Jamaal Christopher Jackson | Student in an Organized Health Care Education/Training Program | 1725 W Harrison St Ste 970, Chicago, IL 60612-3828 | 2018-03-29 |
| 1609309905 | Mark Anthony Dela Cruz Sy IIi | Anesthesiology | 1725 W Harrison St Ste 970, Chicago, IL 60612-3828 | 2017-04-04 |
| 1124434683 | Varun R Garg | Internal Medicine | 1725 W Harrison St Ste 970, Chicago, IL 60612-3828 | 2014-07-05 |
| 1760794416 | Rush University Urology | Urology | 1725 W Harrison St Ste 970, Chicago, IL 60612-3828 | 2010-07-10 |
| 1356667224 | Sarah Ashley Adelstein | Urology | 1725 W Harrison St Ste 970, Chicago, IL 60612-3828 | 2010-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
| 1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
| 1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
| 1154942449 | Keisha Davell Cole | Case Manager/Care Coordinator | 612 S Western Ave Unit 1, Chicago, IL 60612 | 2020-04-28 |
| 1275153777 | Isac Lim | Student in an Organized Health Care Education/Training Program | 1234 S. Wells, Chicago, IL 60612 | 2020-04-24 |
| 1578183414 | Zachary Belden | Student in an Organized Health Care Education/Training Program | Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 | 2020-04-21 |
| 1548880560 | Christina Nunez | Student in an Organized Health Care Education/Training Program | 801 S. Paulina Street, M/c 850, Chicago, IL 60612 | 2020-04-20 |
| Find all providers in zip 60612 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588970933 | Farbod Ghods | Internal Medicine | 5841 S Maryland Ave # Mc6026, Chicago, IL 60637-1447 | 2010-08-24 |
| 1588984454 | James M Walter | Internal Medicine | 240 East Huron, Mcgaw M-300, Chicago, IL 60611 | 2010-06-02 |
| 1972829240 | Devon Wayne Paul | Internal Medicine | 1414 S Fairfield Ave, Chicago, IL 60608 | 2010-04-12 |
| 1538346200 | Irtaza Iqbal Khan | Internal Medicine | 2626 N Lakeview Ave Apt 1003, Chicago, IL 60614-1811 | 2008-01-24 |
| 1528242682 | Sherene Sami Fakhran | Internal Medicine | 240 E. Huron, Mcgaw Pavillion, Suite M-360, Chicago, IL 60611 | 2007-12-26 |
| 1255483897 | Jason Thomas Poston | Internal Medicine | 5841 S Maryland Ave Ste Mc6076, Chicago, IL 60637-1626 | 2007-01-16 |
| 1609937432 | Jeffrey Randall Jacobson | Internal Medicine | 909 South Wolcott Avenue, 3141 Comrb, Chicago, IL 60612-3725 | 2006-12-13 |
| 1396839973 | Yaakov Friedman | Internal Medicine | Provident Hospital, 500 . 51 Street, Chicago, IL 60615-2400 | 2006-10-03 |
| 1669574299 | Jyothi Jolepalem | Internal Medicine | 1500 South California Ave, Sinai Medical Group Dept. of Pulmonary & Critical Care, Chicago, IL 60608-1797 | 2006-09-03 |
| 1265451397 | Babak Mokhlesi | Internal Medicine | University of Chicago Hospitals, 5841 S. Maryland Ave, Mc 6026, Chicago, IL 60637 | 2006-07-19 |
| Find all providers in CHICAGO | ||||
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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.