Individual
DR. LEON MICHAEL SUJATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1425 N HUNT CLUB RD STE 301, GURNEE, IL 60031-2639
(847) 855-9152
Mailing address
120 W 22ND ST STE 200, OAK BROOK, IL 60523-1563
(630) 573-5000
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
036135093
IL
207RN0300X
Nephrology Physician
2012-01642
NC
Other
Enumeration date
03/29/2009
Last updated
05/31/2022
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