Individual
DR. JASON G LEUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
955 BEISNER RD STE 1509, ELK GROVE VILLAGE, IL 60007-3475
(847) 631-5664
(847) 631-5663
Mailing address
955 BEISNER RD STE 1509, ELK GROVE VILLAGE, IL 60007-3475
(847) 631-5664
(847) 631-5663
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036-142584
IL
208100000X
Physical Medicine & Rehabilitation Physician
4301105954
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036142584-1
—
IL
Enumeration date
06/17/2013
Last updated
12/04/2017
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