Individual
DR. MICHAEL LEAHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
10001 W 143RD ST, ORLAND PARK, IL 60462-2026
(708) 349-2600
(708) 349-2600
Mailing address
10001 W 143RD ST, ORLAND PARK, IL 60462-2026
(708) 349-2600
(708) 349-2600
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046007442
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0363241858
TAX ID OAK LAWN
IL
01
—
0363448367
TAX ID ORLAND PARK
IL
01
—
0410017674
RR MEDICARE IND ORLAND PK
IL
01
—
0410022638
RR MEDICARE IND. OAK LAWN
IL
01
—
0618250001
DME
IL
01
—
1148260001
DME/OP
IL
01
—
508980
MEDICARE GROUP OL
IL
01
—
985800
MEDICARE GROUP/ OP
IL
01
—
CN3870
RR MEDICARE GROUP NUMBER
IL
01
—
DA8522
RR MEDICARE GROUP OP
IL
01
—
T365669
UPIN/ OL GROUP
IL
01
—
W22602
UPIN/GROUP OP
IL
Enumeration date
05/12/2006
Last updated
02/21/2008
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