Individual
LEON GERSHON LOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 AUSTIN ST, SUITE 457E, EVANSTON, IL 60202-3439
(847) 328-8884
(847) 328-9129
Mailing address
800 AUSTIN ST, SUITE 457E, EVANSTON, IL 60202-3439
(847) 328-8884
(847) 328-9129
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036039465
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036039465
—
IL
Enumeration date
02/21/2007
Last updated
07/09/2007
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