Joseph R Leventhal General Surgery
675 N St Clair, Chicago, IL 60611-5975



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 60611-5975. The zip code is 60611.


Joseph R Leventhal · 675 N St Clair, Chicago, IL 60611-5975

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

Northwestern Medical Faculty Foundation · Medicare Physician

Name Address Specialty
Hiren Shah 675 N St Clair, Chicago, IL 60611 INTERNAL MEDICINE
Kimberly Valachovic 675 N St Clair, Chicago, IL 60611 CLINICAL NURSE SPECIALIST
Tran La 675 N St Clair, Chicago, IL 60611 INTERNAL MEDICINE
Kathleen Mclaughlin 675 N St Clair, Chicago, IL 60611 CERTIFIED REGISTERED NURSE ANESTHETIST
Katherine Fivelson 675 N St Clair, Chicago, IL 60611 CERTIFIED REGISTERED NURSE ANESTHETIST
Kathleen Nilles 675 N St Clair, Chicago, IL 60611 INTERNAL MEDICINE
Paul Nikolaidis 675 N St Clair, Chicago, IL 60611 DIAGNOSTIC RADIOLOGY
Benjamin Davis 680 N Lake Shore Dr, Chicago, IL 60611 ORTHOPEDIC SURGERY
Manjot Gill 675 N St Clair, Chicago, IL 60611 OPHTHALMOLOGY
Rachel Amdur 675 N St Clair, Chicago, IL 60611 INTERNAL MEDICINE
Daniel Hidaka 675 N St Clair, Chicago, IL 60611 INTERNAL MEDICINE
Monika Mclain 660 N Westmoreland Rd, Lake Forest, IL 60045 INTERNAL MEDICINE
Marcia Mickle 675 N St Clair, Chicago, IL 60611 NURSE PRACTITIONER
Jay Hildebrand 675 N St Clair, Chicago, IL 60611 INTERNAL MEDICINE
Jay Gottfried 675 N St Clair, Chicago, IL 60611 NEUROLOGY
John Lurain 675 N St Clair, Chicago, IL 60611 GYNECOLOGICAL ONCOLOGY
Sreedevi Atluri 680 N Lake Shore Dr, Chicago, IL 60611 GASTROENTEROLOGY
Ronald Ackermann 675 N St Clair, Chicago, IL 60611 INTERNAL MEDICINE
Elizabeth Bookstein 675 N St Clair, Chicago, IL 60611 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Cybele Ghossein 675 N St Clair, Chicago, IL 60611 NEPHROLOGY

Zip 60611 · General Surgery · Medicare Physician

Name Address Specialty
Eric Hungness 675 N St Clair, Chicago, IL 60611 GENERAL SURGERY
Nathaniel Soper 675 N St Clair, Chicago, IL 60611 GENERAL SURGERY
Cord Sturgeon 675 N St Clair, Chicago, IL 60611 GENERAL SURGERY
Mamta Swaroop 675 N St Clair, Chicago, IL 60611 GENERAL SURGERY
Jonah Stulberg 680 N Lake Shore Dr, Chicago, IL 60611 GENERAL SURGERY
Dina Elaraj 675 N St Clair, Chicago, IL 60611 GENERAL SURGERY

Zip 60611 · Medicare Physician

Name Address Specialty
Hiren Shah 675 N St Clair, Chicago, IL 60611 INTERNAL MEDICINE
Kimberly Valachovic 675 N St Clair, Chicago, IL 60611 CLINICAL NURSE SPECIALIST
Tran La 675 N St Clair, Chicago, IL 60611 INTERNAL MEDICINE
Kathleen Mclaughlin 675 N St Clair, Chicago, IL 60611 CERTIFIED REGISTERED NURSE ANESTHETIST
Katherine Fivelson 675 N St Clair, Chicago, IL 60611 CERTIFIED REGISTERED NURSE ANESTHETIST
Kathleen Nilles 675 N St Clair, Chicago, IL 60611 INTERNAL MEDICINE
Jeannine Turner 233 E Erie St, Chicago, IL 60611 CARDIOVASCULAR DISEASE (CARDIOLOGY)
Rowland Chang 345 E Superior St, Chicago, IL 60611 RHEUMATOLOGY
Paul Nikolaidis 675 N St Clair, Chicago, IL 60611 DIAGNOSTIC RADIOLOGY
Benjamin Davis 680 N Lake Shore Dr, Chicago, IL 60611 ORTHOPEDIC SURGERY
Manjot Gill 675 N St Clair, Chicago, IL 60611 OPHTHALMOLOGY
Kelly Dineen One E Delaware Place, Chicago, IL 60611 CLINICAL PSYCHOLOGIST
Rachel Amdur 675 N St Clair, Chicago, IL 60611 INTERNAL MEDICINE
Daniel Hidaka 675 N St Clair, Chicago, IL 60611 INTERNAL MEDICINE
Marcia Mickle 675 N St Clair, Chicago, IL 60611 NURSE PRACTITIONER
Jay Hildebrand 675 N St Clair, Chicago, IL 60611 INTERNAL MEDICINE
Alejandro Del Real 676 N St Clair St, Chicago, IL 60611 NURSE PRACTITIONER
Jay Gottfried 675 N St Clair, Chicago, IL 60611 NEUROLOGY
John Lurain 675 N St Clair, Chicago, IL 60611 GYNECOLOGICAL ONCOLOGY
Sreedevi Atluri 680 N Lake Shore Dr, Chicago, IL 60611 GASTROENTEROLOGY