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Deactivated NPI 1780693473 Deactivated / Inactive NPI Male Practitioner

Dr. Jerry Levin , MD

Pediatrics • Waukegan, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jerry Levin has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 05, 2006
NPI Deactivation Date June 14, 2017
Total Practice Duration ~11 Years of Practice (2006 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Jerry Levin, MD was a registered Pediatrics practicing in Waukegan, IL. Throughout an active medical career spanning 11 years, Dr. Levin provided care at the practice location at 2400 BELVIDERE RD until profile deactivation on 2017-06-14.

Practice Location & Contact Primary Location

Practice Address

2400 Belvidere Rd

Waukegan, IL 600856165

Telephone 8473778440
Associated Practice Facility / Clinic
🏢 County Of Lake Facility NPI 1174552293

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Waukegan, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
11 Specialists

Practicing in Waukegan, IL (3277 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

28 Associated Practitioners
NPI 1003069055

Doctor of Dental Surgery

Orly Avidor , LCSW

Social Worker - Clinical

NPI 1043295140

Licensed Clinical Social Worker

NPI 1144208489

Doctor of Medicine (M.D.)

NPI 1194982413

Doctor of Medicine (M.D.)

Dr. Ronald Cheng , DDS

Dentist - General Practice

NPI 1255544516

Doctor of Dental Surgery

Dr. David Rakoczy , DDS

Dentist - General Practice

NPI 1275688608

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 14, 2017

Record deactivated on June 14, 2017

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 2400 BELVIDERE RD, WAUKEGAN, IL 600856165 (Tel: 8473778440)

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Updated Business Mailing Address July 08, 2007

Registered at 2400 BELVIDERE RD, WAUKEGAN, IL 600856165

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Provider Name / Credentials Updated July 08, 2007

Recorded as JERRY LEVIN, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics

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Initial NPI Registration & Enumeration August 05, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1780693473
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 05, 2006
Last Update: July 08, 2007
Deactivation Date: June 14, 2017

Mailing Address

2400 Belvidere Rd

Waukegan, IL 600856165

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.