Individual
LEO G. NIEDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1653 W CONGRESS PKWY, 770 JONES, CHICAGO, IL 60612-3244
(312) 942-1501
(312) 563-4159
Mailing address
1653 W CONGRESS PKWY, 770 JONES, CHICAGO, IL 60612-3833
(312) 942-1501
(312) 563-4159
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036061069
IL
Other
Enumeration date
08/08/2006
Last updated
09/21/2011
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