Individual
RUSSELL MARCUS LEBOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D,
Contact information
Practice address
9630 KENTON AVENUE EYE CARE LTD., EYE CARE LTD., SKOKIE, IL 60076
(847) 677-1631
Mailing address
9630 KENTON AVENUE EYE CARE LTD., EYE CARE LTD., SKOKIE, IL 60076
(847) 677-1631
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
01062131A
IN
207W00000X
Ophthalmology Physician
Primary
036123252
IL
207W00000X
Ophthalmology Physician
4301091704
MI
Other
Enumeration date
04/15/2008
Last updated
12/07/2021
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