Organization
LEAVITT HEALTHCARE AND DIAGNOSTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HATEM A GALAL MD (OWNER)
(312) 733-0901
Entity
Organization
Contact information
Practice address
2158 W GRAND AVE, SUITE 102, CHICAGO, IL 60612-1571
(312) 733-0901
(312) 733-0917
Mailing address
2158 W GRAND AVE, SUITE 102, CHICAGO, IL 60612-1571
(312) 733-0901
(312) 733-0917
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036046113
IL
Other
Enumeration date
08/29/2011
Last updated
08/29/2011
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