Individual
DR. JACK LEONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3000 N CICERO AVE, CHICAGO, IL 60641-5106
(773) 282-3115
(773) 282-0590
Mailing address
3000 N CICERO AVE, CHICAGO, IL 60641-5106
(773) 282-3115
(773) 282-0590
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036070436
IL
Other
Enumeration date
11/21/2005
Last updated
10/20/2020
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