Individual
DR. CARL ALEXANDER-MUTTER LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
434 W ONTARIO ST STE 300, CHICAGO, IL 60654
(312) 475-9751
Mailing address
456 IDA PL, GLENCOE, IL 60022-1913
(312) 498-6160
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019027364
IL
Other
Enumeration date
10/04/2007
Last updated
12/18/2018
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