Individual
LEONID BLYUMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1405 W MORSE AVE, CHICAGO, IL 60626
(773) 743-5100
(773) 743-0932
Mailing address
1405 W MORSE AVE, CHICAGO, IL 60626
(773) 743-5100
(773) 743-0932
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016004759
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016004759
—
IL
Enumeration date
09/08/2006
Last updated
10/03/2013
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