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Individual

LEONID RASKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
80 TEMPLETON DR, OSWEGO, IL 60543-7000
(630) 554-3456
Mailing address
28594 NETWORK PL, CHICAGO, IL 60673-1285
(630) 859-6800

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036113746
IL
208M00000X
Hospitalist Physician
036113746
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01036113746
IL
01
036113746
IL MEDICAL LICENSE
IL
Enumeration date
08/30/2006
Last updated
03/07/2024
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