Organization
LEAGUE CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MUNEEB AHMED YUSUF B.SC, MBA, JD (GENERAL COUNSEL)
(416) 477-2554
Entity
Organization
Contact information
Practice address
515 N STATE ST FL 8, CHICAGO, IL 60654-9102
(312) 967-2889
Mailing address
515 N STATE ST FL 8, CHICAGO, IL 60654-9102
(312) 967-2889
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
11/14/2019
Last updated
11/14/2019
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