Irving J Leonard in Chicago - Dentist

Irving J Leonard - NPI 1487716114

Irving J Leonard is a Dentist in Chicago, Illinois. Irving J Leonard practices all healthcare services and medical treatments related to Dentist. The NPI Number for Irving J Leonard is 1487716114. The last update date is 2007-07-08.

Irving J Leonard's current location address is 1360 N Sandburg Ter, Chicago, Illinois. You can contact this provider via phone number 3126646463 and fax number 3126644140. The mailing address for Irving J Leonard is 1360 N Sandburg Ter, Chicago, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Irving J Leonard
Address 1360 N Sandburg Ter, Chicago, Illinois
Phone Number 3126646463
Fax Number 3126644140
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1487716114
Provider Enumeration Date 2006-12-16
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1360 N Sandburg Ter
City Chicago
State Illinois (IL)
Post Code 606102075
Phone Number 3126646463
Fax Number 3126644140

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 19-011651
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
19-011651 IL LICENSE NUMBER

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FAQs about Irving J Leonard

What is the unique 10-digit identification code issued to Irving J Leonard by the Centers for Medicare & Medicaid Services?

The Irving J Leonard has been assigned the NPI (National Provider Identifier) 1487716114 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Where is the Irving J Leonard located?

The Irving J Leonard is located at 1360 N Sandburg Ter, Chicago, IL 606102075.

What is Irving J Leonard's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Irving J Leonard is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.

When did the Irving J Leonard receive its 1487716114?

The Irving J Leonard was issued its 1487716114 on 2006-12-16, which is the date when the organization was assigned this unique identifier.

As of what date was the information regarding Irving J Leonard, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Irving J Leonard, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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