Individual
JAROSLAW RYSZARD LESZCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1550 N NORTHWEST HWY, SUITE 209, PARK RIDGE, IL 60068-1411
(847) 653-8413
Mailing address
1550 N NORTHWEST HWY, SUITE 209, PARK RIDGE, IL 60068-1411
(847) 653-8413
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36-096239
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10585694
CAQH
IL
Enumeration date
06/10/2006
Last updated
09/01/2015
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