person
Michael Lavine, MD
Diagnostic Radiology Physician in Glen Ellyn, Illinois
NPI 1619943586

Michael Lavine is a Diagnostic Radiology Physician based in Chicago, IL and is specialized in Diagnostic Radiology. Michael Lavine practices in Glen Ellyn, IL and has the professional credentials of MD. The NPI Number for Michael Lavine is 1619943586 and holds a License No. 036063940 (Illinois).

The current practice location address for Michael Lavine is 430 Pennsylvania Ave, Glen Ellyn, IL and can be reached out via phone at 630-469-9200.

Location: 430 Pennsylvania Ave, Glen Ellyn, IL, 60674-0018
person
Provider Profile Details
NPI Number
1619943586
Provider Name
Michael Lavine
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
430 Pennsylvania Ave, Glen Ellyn, IL, 60674-0018
Phone Number
630-469-9200
Fax Number
Provider Enumeration Date
02/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036063940 05 IL
institution
Provider Business Practice Location Address Details
Address
430 Pennsylvania Ave
City
State
Zip
60137-4464
Phone Number
630-469-9200
Fax Number
person
Provider Business Mailing Address Details
Address
430 Pennsylvania Ave
City
State
Zip
60137-4464
Phone Number
630-469-9200
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
036063940 (Illinois)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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