Organization
LEONARD CERULLO, MD, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEONARD CERULLO MD (PRESIDENT)
(312) 442-0431
Entity
Organization
Contact information
Practice address
680 N LAKE SHORE DR STE 1428, CHICAGO, IL 60611-3461
(312) 442-0431
Mailing address
680 N LAKE SHORE DR STE 1428, CHICAGO, IL 60611-3461
(312) 442-0431
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
09/01/2017
Last updated
07/21/2022
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