Ovidio A De Leon M.D.

NPI 1164520474 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1164520474
Gender Male
Enumeration Date 09/20/2006
Last Updated 03/30/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
1740 W TAYLOR ST
CHICAGO IL, 60612-7232, US
Phone (866) 600-2273
Fax
Business Location
912 S WOOD ST
NPI-S ROOM 830, MC 913
CHICAGO IL, 60612-4300, US
Phone (312) 996-3584
Fax (312) 413-7856
Toxanomy
Taxonomy Code 2084P0800X
License State Illinois
License Number 036087657
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According to our database, Ovidio A De Leon M.D. NPI is 1164520474, taxonomy code is 2084P0800X and license number is 036087657, license state is located at Illinois. Ovidio A De Leon M.D. physically located at 1740 W Taylor St, Chicago IL, 60612-7232. NPI Number Ovidio A De Leon M.D. has the Individual type.

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1164520474 NPI number is provided on an as is basis without warranty of any kind. 1164520474 is maintained by the National Plan & Provider Enumeration System. The contents of Ovidio A De Leon M.D. are for informational purposes only.