Individual
ALEXANDER SCOTT LEIDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
675 N SAINT CLAIR ST STE 18-250, CHICAGO, IL 60611-5980
(312) 695-0596
(312) 926-4878
Mailing address
675 N SAINT CLAIR ST STE 18-250, CHICAGO, IL 60611-5980
(312) 695-0596
(312) 926-4878
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125 067013
ID
207RN0300X
Nephrology Physician
Primary
036146665
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2015
Last updated
07/12/2021
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