Individual
DEEPAK LEEKHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5729 W CERMAK RD, CICERO, IL 60804-2129
(708) 652-0200
(708) 652-9001
Mailing address
1S161 SUMMIT AVE, OAKBROOK TERRACE, IL 60181-3904
(630) 932-8000
(630) 932-8025
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036110801
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036110801
—
IL
01
—
21606805
BCBS PROVIDER ID
IL
01
—
P00423437
RAILROAD MEDICARE
IL
Enumeration date
04/28/2006
Last updated
04/26/2021
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