Individual ProviderLeonard LevitesEmergency MedicineAllopathic & Osteopathic PhysiciansPractice Address4201 W Medical Center Dr, Mchenry, IL 60050-8409(815) 338-6600PECOS EnrollmentBased on the most recent information from CMS, provider Leonard Levites is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1124059381Provider TypeIndividualFull NameLevites, LeonardTitleDr.CredentialM.D.GenderMaleSole ProprietorNoEnumeration Date7/6/2006Last Updated7/21/2022Contact InformationPractice LocationPractice Address4201 W Medical Center Dr, Mchenry, IL 60050-8409Phone(815) 338-6600FaxUnlisted FaxMailing LocationMailing Address4201 W Medical Center Dr, Mchenry, IL 60050-8409Phone(815) 338-6600FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207P00000XPrimaryDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicense036-108576IllinoisProvider IdentifiersIDDescriptionIssuerID036112317DescriptionMedicaidIssuerUnlistedIllinoisID1638755DescriptionOtherIssuerBLUE CROSS/BLUE SHIELDIllinoisID036-108576DescriptionMedicaidIssuerUnlistedIllinoisID216398DescriptionOtherIssuerGROUPIllinois