Individual
LEONARD GO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
675 N SAINT CLAIR ST STE 18-250, CHICAGO, IL 60611-5980
(312) 695-1800
(312) 695-4741
Mailing address
675 N SAINT CLAIR ST STE 18-250, CHICAGO, IL 60611-5980
(312) 695-1800
(312) 695-4741
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036.120347
IL
207RP1001X
Pulmonary Disease Physician
Primary
036.120347
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP1-0022644
INSTITUTIONAL PERMIT
—
Enumeration date
05/21/2007
Last updated
10/11/2019
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