Individual
DR. LEONARD STALLINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6434 W NORTH AVE, CHICAGO, IL 60707-4030
(773) 836-3000
(773) 836-5980
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1292
(847) 390-5900
(847) 390-4757
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036071417
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036071417
—
IL
01
—
275750
MEDICARE
IL
Enumeration date
10/10/2006
Last updated
11/29/2022
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