Individual
LESLIE NORMAN TRUBOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
550 WARRENVILLE RD, SUITE 400, LISLE, IL 60532-4308
(630) 725-7205
(855) 210-5125
Mailing address
3171 WHISPERWOODS CT, NORTHBROOK, IL 60062-6400
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036059636
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036059636
—
IL
Enumeration date
10/03/2006
Last updated
03/24/2011
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