Individual
LEI YAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D
Contact information
Practice address
1653 W CONGRESS PKWY, JELKE BUILDING, DEPARTMENT OF PATHOLOGY, CHICAGO, IL 60612-3833
(504) 617-2165
Mailing address
7645 GLADSTONE DR, #202, NAPERVILLE, IL 60565-1120
(504) 617-2165
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
125-065139
IL
Other
Enumeration date
06/11/2014
Last updated
06/11/2014
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