Leonid Ayzenberg, M.d. Inc

NPI 1235294398 - Optometrist - 152W00000X

NPI Details
NPI 1235294398
Enumeration Date 12/27/2006
Last Updated 04/27/2009
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LEONID LEONID
Position OWNER
Phone (773) 283-7700
Fax (773) 743-5508
Practice Location
2922 W DEVON AVE
CHICAGO IL, 60659-1508, US
Phone (773) 283-7700
Fax (773) 743-5508
Business Location
2922 W DEVON AVE
CHICAGO IL, 60659-1508, US
Phone (773) 283-7700
Fax (773) 743-5508
Toxanomy
Taxonomy Code 152W00000X
License State Illinois
License Number 036095153
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According to our database, Leonid Ayzenberg, M.d. Inc NPI is 1235294398, taxonomy code is 152W00000X and license number is 036095153, license state is located at Illinois. Leonid Ayzenberg, M.d. Inc physically located at 2922 W Devon Ave, Chicago IL, 60659-1508. NPI Number 1033115704 has the healthcare provider type.

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1235294398 NPI number is provided on an as is basis without warranty of any kind. 1235294398 is maintained by the National Plan & Provider Enumeration System. The contents of Leonid Ayzenberg, M.d. Inc are for informational purposes only.