Individual
CLARE LEGURSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3707 DOTY RD, WOODSTOCK, IL 60098-7530
(815) 338-6600
Mailing address
3707 DOTY RD, WOODSTOCK, IL 60098-7530
(815) 338-6600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036076261
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036076261
—
IL
Enumeration date
09/02/2006
Last updated
07/21/2022
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