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Individual

DR. LANDON JESS DUYKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
700 N WESTMORELAND RD, SUITE F, LAKE FOREST, IL 60045-1679
(847) 295-1114
(847) 295-9373
Mailing address
700 N WESTMORELAND RD, SUITE F, LAKE FOREST, IL 60045-1679
(847) 295-1114
(847) 295-9373

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
036.131381
IL
207Y00000X
Otolaryngology Physician
4301093292
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
440069501
AR
Enumeration date
06/27/2007
Last updated
01/11/2013
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