Individual
IRENE H LESNIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6415 W ARCHER, CHICAGO, IL 60638
(773) 788-1702
(773) 788-1709
Mailing address
6415 W ARCHER, CHICAGO, IL 60638
(773) 788-1702
(773) 788-1709
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A46607
CA
207Q00000X
Family Medicine Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31603819
BCBS
—
Enumeration date
10/24/2006
Last updated
07/08/2007
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