Individual
DR. LEONARD GINZBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19 W ROLLINS RD, ROUND LAKE BEACH, IL 60073-1350
(847) 740-7260
(847) 740-7262
Mailing address
19 W ROLLINS RD, ROUND LAKE BEACH, IL 60073-1350
(847) 740-7260
(847) 740-7262
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036087000
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036087000
—
IL
Enumeration date
08/12/2005
Last updated
12/12/2021
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