Individual
MAE ANTOINETTE LEEF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1775 BALLARD RD, PARK RIDGE, IL 60068-1005
(847) 318-9340
(847) 318-2966
Mailing address
1775 BALLARD RD, PARK RIDGE, IL 60068-1005
(847) 318-9340
(847) 318-2966
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125.081622
IL
Other
Enumeration date
03/24/2023
Last updated
06/14/2023
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