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Individual

JOHN G LEASE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3000 NORTH HALSTED STREET, SUITE 707, CHICAGO, IL 60657
(773) 883-8234
(773) 404-9718
Mailing address
3000 NORTH HALSTED STREET, SUITE 707, CHICAGO, IL 60657
(773) 883-8234
(773) 404-9718

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
IL

Other

Enumeration date
08/01/2006
Last updated
07/08/2007
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