Organization
FKLEUNG, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANK K LEUNG M.D. (PRESIDENT)
(847) 623-7590
Entity
Organization
Contact information
Practice address
2504 WASHINGTON ST, SUITE 102, WAUKEGAN, IL 60085-4983
(847) 623-7590
(847) 623-7591
Mailing address
2504 WASHINGTON ST, SUITE 102, WAUKEGAN, IL 60085-4983
(847) 623-7590
(847) 623-7591
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
36061041
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21629689
BLUE CROSS BLUE SHIELD
IL
Enumeration date
03/09/2010
Last updated
03/09/2010
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