Individual
ACEZR LEYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
(630) 874-2642
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036112533
IL
Other
Enumeration date
07/13/2005
Last updated
03/22/2021
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