Individual
DR. LESLIE BULYAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C
Contact information
Practice address
5315 N SHERIDAN RD, CHICAGO, IL 60640-2531
(773) 275-3200
(773) 275-2877
Mailing address
5315 N SHERIDAN RD, CHICAGO, IL 60640-2531
(773) 275-3200
(773) 275-2877
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
797550
GROUP MEDICARE NUMBER
IL
Enumeration date
01/25/2007
Last updated
07/08/2007
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