Individual
EMILIANO LEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5151 CHURCH ST, SKOKIE, IL 60077-1123
(888) 384-7769
Mailing address
6000 N CICERO AVE APT 410, CHICAGO, IL 60646-4344
(773) 234-0388
(773) 234-0394
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
209020412
IL
363LF0000X
Family Nurse Practitioner
Primary
95025035
CA
Other
Enumeration date
01/19/2020
Last updated
08/01/2023
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