Individual
DR. KENNETH LEEZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4317 S ASHLAND AVE, CHICAGO, IL 60609-3140
(773) 832-5716
Mailing address
2752 N SEMINARY AVE APT 2F, CHICAGO, IL 60614-8119
(812) 606-7165
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.032742
IL
Other
Enumeration date
07/09/2020
Last updated
07/09/2020
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