Individual
STEVE LEARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
950 W BERWYN AVE, SUITE 11, CHICAGO, IL 60640-2580
(773) 769-1296
Mailing address
950 W BERWYN AVE, SUITE 11, CHICAGO, IL 60640-2580
(773) 769-1296
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
227.011449
IL
Other
Enumeration date
04/06/2012
Last updated
05/29/2012
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