Organization
JOHN G LEASE, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN G LEASE MD (PRESIDENT)
(773) 883-8234
Entity
Organization
Contact information
Practice address
3000 N HALSTED ST, SUITE #707, CHICAGO, IL 60657-5188
(773) 883-8234
(847) 404-9718
Mailing address
3000 N HALSTED ST, SUITE #707, CHICAGO, IL 60657-5188
(773) 883-8234
(847) 404-9718
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
IL
Other
Enumeration date
10/17/2006
Last updated
08/22/2020
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