Joseph R Leventhal General Surgery
675 N St Clair, Chicago, IL 606115975



Joseph R Leventhal is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1124050406. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 6406983725. The primary specialty is GENERAL SURGERY. The organization is NORTHWESTERN MEDICAL FACULTY FOUNDATION. The address is 675 N St Clair, Chicago, IL 606115975. The zip code is 60611.


Joseph R Leventhal · 675 N St Clair, Chicago, IL 606115975

Nation Provider ID 1124050406
PAC ID by PECOS 6406983725
Professional Enrollment ID I20100419000539
Last Name LEVENTHAL
First Name JOSEPH
Middle Name R
Gender M
Medical School Name STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduation Year 1987
Primary Specialty GENERAL SURGERY
Primary Specialty NORTHWESTERN MEDICAL FACULTY FOUNDATION
Group Practice PAC ID 4587576814
Number of Group Practice Members 1506
Address 675 N ST CLAIR
CHICAGO, IL 606115975
Claims Based Hospital Affiliation Claim Control Number (CCN): 140281
Legal Business Name: NORTHWESTERN MEMORIAL HOSPITAL
Claims Based Hospital Affiliation Claim Control Number (CCN): 140130
Legal Business Name: NORTHWESTERN LAKE FOREST HOSPITAL
Claims Based Hospital Affiliation Claim Control Number (CCN): 140290
Legal Business Name: ST ALEXIUS MEDICAL CENTER
Professional accepts Medicare Assignment Y
Participates in Medicare Electronic Health Record (EHR) Y
Participates in Medicare Physician Quality Reporting System (PQRS) Y

street_number: 675
route: North Saint Clair Street (N St Clair St)
neighborhood, political: Central
locality, political: Chicago
admin_level_2, political: Cook County
admin_level_1, political: Illinois (IL)
country, political: United States (US)
postal_code: 60611
types : street_address
latitude: 41.8945043
longitude: -87.6217669
latlng: (41.8945043, -87.6217669)


Northwestern Medical Faculty Foundation · Medicare Physician

Name Address Specialty
Shannon Galvin 675 N St Clair, Chicago, IL 60611 INTERNAL MEDICINE
Jeffrey Brennan 675 N St Clair, Chicago, IL 60611 ANESTHESIOLOGY
Joseph Newberg 675 N St Clair, Chicago, IL 60611 FAMILY PRACTICE
Diane Heidmann 675 N St Clair, Chicago, IL 60611 INTERNAL MEDICINE
Jeremy Carlsen 675 N St Clair, Chicago, IL 60611 CERTIFIED REGISTERED NURSE ANESTHETIST
Meredith Mooney-levin 675 N St Clair, Chicago, IL 60611 CERTIFIED REGISTERED NURSE ANESTHETIST
Antoun Nader 675 N St Clair, Chicago, IL 60611 ANESTHESIOLOGY
Kameswari Maganti 675 N St Clair, Chicago, IL 60611 CARDIOVASCULAR DISEASE (CARDIOLOGY)
Michael Stover 675 N St Clair, Chicago, IL 60611 ORTHOPEDIC SURGERY
Megan Sullivan 675 N St Clair, Chicago, IL 60611 PATHOLOGY
Michelle Hawksworth 675 N St Clair, Chicago, IL 60611 NURSE PRACTITIONER
Michelle Calvario 675 N St Clair, Chicago, IL 60611 NURSE PRACTITIONER
David Mahvi 675 N St Clair, Chicago, IL 60611 SURGICAL ONCOLOGY
Guido Marra 660 N Westmoreland Rd, Lake Forest, IL 60045 ORTHOPEDIC SURGERY
Bonnie Malik 675 N St Clair, Chicago, IL 60611 CERTIFIED REGISTERED NURSE ANESTHETIST
Erica Battin 675 N St Clair, Chicago, IL 60611 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Jeffrey Goldberger 675 N St Clair, Chicago, IL 60611 CARDIAC ELECTROPHYSIOLOGY
James Reilly 675 N St Clair, Chicago, IL 60611 CLINICAL PSYCHOLOGIST
Emily Martin 675 N St Clair, Chicago, IL 60611 INTERNAL MEDICINE
Julane Clarke 251 E Huron, Chicago, IL 60611 CERTIFIED REGISTERED NURSE ANESTHETIST

Zip 60611 · General Surgery · Medicare Physician

Name Address Specialty
Dina Elaraj 675 N St Clair, Chicago, IL 60611 GENERAL SURGERY
Jonah Stulberg 680 N Lake Shore Dr, Chicago, IL 60611 GENERAL SURGERY
Jason Wertheim 675 N St Clair, Chicago, IL 60611 GENERAL SURGERY
Michael Abecassis 675 N St Clair, Chicago, IL 60611 GENERAL SURGERY
Cord Sturgeon 675 N St Clair, Chicago, IL 60611 GENERAL SURGERY
Anthony Yang 675 N St Clair, Chicago, IL 60611 GENERAL SURGERY
Michael Shapiro 675 N St Clair, Chicago, IL 60611 GENERAL SURGERY
Mamta Swaroop 675 N St Clair, Chicago, IL 60611 GENERAL SURGERY
Jonathan Fryer 675 N St Clair, Chicago, IL 60611 GENERAL SURGERY
Alexander Nagle 675 N St Clair, Chicago, IL 60611 GENERAL SURGERY
Talia Baker 675 N St Clair, Chicago, IL 60611 GENERAL SURGERY
Karl Bilimoria 675 N St Clair, Chicago, IL 60611 GENERAL SURGERY
Felictas Koller 675 N St Clair, Chicago, IL 60611 GENERAL SURGERY
Eric Hungness 675 N St Clair, Chicago, IL 60611 GENERAL SURGERY
Anton Skaro 675 N St Clair, Chicago, IL 60611 GENERAL SURGERY
Juan Caicedo 675 N St Clair, Chicago, IL 60611 GENERAL SURGERY
Nathaniel Soper 675 N St Clair, Chicago, IL 60611 GENERAL SURGERY

Zip 60611 · Medicare Physician

Name Address Specialty
Barbara Friedman 233 E Erie St, Chicago, IL 60611 CLINICAL PSYCHOLOGIST
Paul Knepper 150 E Huron St, Chicago, IL 60611 OPHTHALMOLOGY
Cynthia Dopke 233 E Erie St, Chicago, IL 60611 CLINICAL PSYCHOLOGIST
Judith Lichtenstein 737 N Michigan Ave, Chicago, IL 60611 PSYCHIATRY
Edward Tuder 150 E Huron St, Chicago, IL 60611 PSYCHIATRY
Mark Golden 875 N Michigan Ave, Chicago, IL 60611 OPHTHALMOLOGY
Perry Kamel 737 N Michigan Ave, Chicago, IL 60611 GASTROENTEROLOGY
Lauren Miller 1 E Superior St, Chicago, IL 60611 CLINICAL PSYCHOLOGIST
Dianne Burgin 405 N Wabash Ave, Chicago, IL 60611 CLINICAL PSYCHOLOGIST
Daniel Busch 737 N Michigan Ave, Chicago, IL 60611 PSYCHIATRY
William Clark 737 N Michigan Ave, Chicago, IL 60611 PSYCHIATRY
Steven Flagel 737 N Michigan Ave, Chicago, IL 60611 PSYCHIATRY
Caroline Loeb 737 N Michigan Ave, Chicago, IL 60611 PSYCHIATRY
George Moynihan 1 E Erie St, Chicago, IL 60611 PLASTIC AND RECONSTRUCTIVE SURGERY
Mark Upton 251 E Huron St, Chicago, IL 60611 CARDIOVASCULAR DISEASE (CARDIOLOGY)
Audrey Chenoweth 645 N Michigan Ave, Chicago, IL 60611 PHYSICAL THERAPY
Jeremy Campbell 227 D E Ontario, Chicago, IL 60611 PHYSICAL THERAPY
Samit Shah 227 D E Ontario, Chicago, IL 60611 PHYSICAL THERAPY
Soheila Vahabinejad 161 E Erie St, Chicago, IL 60611 CHIROPRACTIC
Laura Rogers 233 E Erie, Chicago, IL 60611 ALLERGY/IMMUNOLOGY