Individual
DIANNE A DE LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4732 N LINCOLN AVE STE 200, CHICAGO, IL 60625-8561
(312) 695-8106
(312) 694-7291
Mailing address
4732 N LINCOLN AVE STE 200, CHICAGO, IL 60625-8561
(312) 695-8106
(312) 694-7291
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036158125
IL
207N00000X
Dermatology Physician
266092
MA
Other
Enumeration date
07/09/2012
Last updated
12/07/2021
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