institution
Leon Y Que, M.d.s.c.
Primary Care Clinic/Center in Chicago, Illinois
NPI 1215267067

Leon Y Que, M.d.s.c. is a Primary Care Clinic/Center based in Chicago, IL and is specialized in Primary Care. Leon Y Que, M.d.s.c. practices in Chicago, IL. The NPI Number for Leon Y Que, M.d.s.c. is 1215267067 and holds a License No. 36043152 (Illinois).

The current practice location address for Leon Y Que, M.d.s.c. is 6959 S Pulaski Rd, Chicago, IL and can be reached out via phone at 773-838-1088 and via fax at 773-581-2847.

Location: 6959 S Pulaski Rd, Chicago, IL, 60629-4238
institution
Provider Profile Details
NPI Number
1215267067
Provider Name
Leon Y Que, M.d.s.c.
Credential
Provider Entity Type
Organization
Address
6959 S Pulaski Rd, Chicago, IL, 60629-4238
Phone Number
773-838-1088
Fax Number
773-581-2847
Provider Enumeration Date
12/29/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
36043152 05 IL
471670 01 IL MEDICARE PTAN
21604003 01 IL BCBS
institution
Provider Business Practice Location Address Details
Address
6959 S Pulaski Rd
City
State
Zip
60629-4238
Phone Number
773-838-1088
Fax Number
773-581-2847
person
Provider Business Mailing Address Details
Address
6959 S Pulaski Rd
City
State
Zip
60629-4238
Phone Number
773-838-1088
Fax Number
773-581-2847
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
36043152 (Illinois)
Definition
Definition to come...
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