Individual
DR. IRVING J LEONARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1360 N SANDBURG TER, DENTAL OFFICE-MALL, CHICAGO, IL 60610-2075
(312) 664-6463
(312) 664-4140
Mailing address
1360 N SANDBURG TER, DENTAL OFFICE-MALL, CHICAGO, IL 60610-2075
(312) 664-6463
(312) 664-4140
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19-011651
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19-011651
LICENSE NUMBER
IL
Enumeration date
12/16/2006
Last updated
07/08/2007
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