Individual
DR. LESLIE SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
40 S CLAY ST # 100, HINSDALE, IL 60521-3257
(630) 920-2229
(630) 920-8342
Mailing address
1860 PAYSPHERE CIR, CHICAGO, IL 60674-0018
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
03691693
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036091693
—
IL
01
—
P00631958
RR MEDICARE
IL
Enumeration date
08/18/2006
Last updated
02/18/2021
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