Jack Leya is a Gastroenterology in Maywood, Illinois. Jack Leya practices all healthcare services and medical treatments related to Gastroenterology. The NPI Number for Jack Leya is 1336128602. The last update date is 2023-10-10.
Jack Leya's current location address is 2160 S First Ave, Maywood, Illinois. You can contact this provider via phone number 7082163307 and fax number 7082164113. The mailing address for Jack Leya is 2160 S First Ave, Maywood, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Leya |
|---|---|
| Address | 2160 S First Ave, Maywood, Illinois |
| Phone Number | 7082163307 |
| Fax Number | 7082164113 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1336128602 |
|---|---|
| Provider Enumeration Date | 2006-01-13 |
| Last Updated Date | 2023-10-10 |
Provider Mailing Address Detail
| Address | 2160 S First Ave |
|---|---|
| City | Maywood |
| State | Illinois (IL) |
| Post Code | 60153 |
| Phone Number | 7082163307 |
| Fax Number | 7082164113 |
Provider's Primary Taxonomy Detail
| Speciality | Gastroenterology |
|---|---|
| Taxonomy | 207Rg0100X |
| Licence No | 36066173 |
|
Definition: An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and perf |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36066173 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jack Leya by the Centers for Medicare & Medicaid Services?
The Jack Leya has been assigned the NPI (National Provider Identifier) 1336128602 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Jack Leya's physical address?
The Jack Leya is physically located at 2160 S First Ave, in the city of Maywood, IL, with the postal code 60153.
What is the Jack Leya's area of specialization and corresponding taxonomy classification?
The Jack Leya's specialty field is Gastroenterology, and it falls under the taxonomy code 207Rg0100X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1336128602 to Jack Leya?
The Jack Leya received its 1336128602 assignment from the Centers for Medicare & Medicaid Services on 2006-01-13.
As of what date were the Jack Leya's details last updated?
The information pertaining to the Jack Leya, including its address, specialty, and other details, was most recently updated on 2023-10-10.
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