Individual
PHILLIP LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
20201 CRAWFORD AVE, OLYMPIA FIELDS, IL 60461-1010
(714) 222-5256
Mailing address
300 W HILL ST APT 822, CHICAGO, IL 60610-7538
(714) 222-5256
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20A16053
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/19/2014
Last updated
05/07/2024
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