Individual
LEO VIRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7435 W TALCOTT AVE, CHICAGO, IL 60631-3707
(773) 792-7921
Mailing address
7435 W TALCOTT AVE, CHICAGO, IL 60631-3707
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
125-076294
IL
207P00000X
Emergency Medicine Physician
Primary
A186544
CA
Other
Enumeration date
04/21/2020
Last updated
10/10/2023
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