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Organization

LEIGH H ROBERTS, MD, LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LEIGH M ROBERTS MD (PRESIDENT)
(773) 883-0723
Entity
Organization

Contact information

Practice address
3000 N HALSTED ST, SUITE 723, CHICAGO, IL 60657-5188
(773) 883-0723
Mailing address
3000 N HALSTED ST, SUITE 723, CHICAGO, IL 60657-5188
(773) 883-0723

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
036-089445
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0001637188
BC/BS
IL
05
036089445
IL
Enumeration date
04/13/2007
Last updated
07/16/2008
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