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Individual

LEONARDO M CHATO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8012 S CRANDON AVE, CHICAGO, IL 60617-1124
(773) 768-0810
Mailing address
PO BOX 597903, CHICAGO, IL 60659-7903
(773) 537-0020
(773) 537-0030

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036045177
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036045177
IL
01
21621764
BCBS OF IL
IL
Enumeration date
10/12/2006
Last updated
08/23/2007
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