Individual ProviderDavid Lawrence LevineEmergency MedicineAllopathic & Osteopathic PhysiciansPractice Address1901 W Harrison St, Suite 1911-Dept Of Em, Chicago, IL 60612-3714(312) 864-1520PECOS EnrollmentBased on the most recent information from CMS, provider David Lawrence Levine does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 6:04 PM.Profile DetailsProvider ID1336254093Provider TypeIndividualFull NameLevine, David LawrenceTitleDr.CredentialM.D.GenderMaleSole ProprietorYesEnumeration Date8/20/2006Last Updated7/9/2007Contact InformationPractice LocationPractice Address1901 W Harrison St, Suite 1911-Dept Of Em, Chicago, IL 60612-3714Phone(312) 864-1520Fax(312) 864-9398Mailing LocationMailing Address1901 W Harrison St, Suite 1911-Dept Of Em, Chicago, IL 60612-3714Phone(312) 864-1520Fax(312) 864-9398Provider TaxonomiesCodeDescriptionLicenseCode207P00000XPrimaryDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicense36090767IllinoisProvider IdentifiersIDDescriptionIssuerIDL66851DescriptionMedicaidIssuerUnlistedIllinois