Individual
LEILA LEONARDO VALE SANATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26W107 JEROME AVE, WHEATON, IL 60187-2955
(949) 880-6093
Mailing address
26W107 JEROME AVE, WHEATON, IL 60187-2955
(949) 880-6093
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
WKCEJ-22MT
IL
174400000X
Specialist
Primary
WM5HP-4SHS
IL
Other
Enumeration date
09/22/2021
Last updated
09/22/2021
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