Organization
ACEZR LEYNES MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ACEZR LEYNES M.D. (CHAIRMAN)
(773) 235-0626
Entity
Organization
Contact information
Practice address
3758 W CHICAGO AVE, CHICAGO, IL 60651-3823
(773) 235-0626
Mailing address
520 E 22ND ST, LOMBARD, IL 60148-6110
(630) 874-2542
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/23/2006
Last updated
07/16/2007
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