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Organization

JG LEIJA MD FACA LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSEPH G LEIJA MD (PRESIDENT OWNER)
(708) 450-5054
Entity
Organization

Contact information

Practice address
675 W NORTH AVE, SUITE 310, MELROSE PARK, IL 60160-1634
(708) 450-5054
(708) 450-9088
Mailing address
675 W NORTH AVE, SUITE 310, MELROSE PARK, IL 60160-1634
(708) 450-5054
(708) 450-9088

Taxonomy

Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
03635559
IL

Other

Enumeration date
12/05/2006
Last updated
08/22/2020
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