Individual
LEAH GRUEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-3250
Mailing address
320 W OAKDALE AVE APT 1802, CHICAGO, IL 60657-5667
(224) 235-0585
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
125.083727
IL
Other
Enumeration date
03/18/2024
Last updated
05/17/2024
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