Provider Demographics
NPI:1770179772
Name:LEVY, DAVID M (PSYD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:M
Last Name:LEVY
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2021 MIDWEST RD STE 104
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-1396
Mailing Address - Country:US
Mailing Address - Phone:630-280-8173
Mailing Address - Fax:630-560-6412
Practice Address - Street 1:939 W NORTH AVE STE 750
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60642-7142
Practice Address - Country:US
Practice Address - Phone:630-280-8173
Practice Address - Fax:630-560-6412
Is Sole Proprietor?:No
Enumeration Date:2020-12-15
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103G00000X
NY024063103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist