Organization
LEONARD STALLINGS MD & ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEONARD STALLINGS MD (PRESIDENT)
(773) 265-4566
Entity
Organization
Contact information
Practice address
5120 W JACKSON BLVD, CHICAGO, IL 60644-4332
(773) 265-4566
(773) 265-4576
Mailing address
PO BOX 5128, RIVER FOREST, IL 60305
(773) 265-4639
(773) 265-4576
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036071417
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036071417
—
IL
Enumeration date
11/08/2006
Last updated
05/19/2014
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