| Dr Leslie Jay Block, MD | |
|
700 N Westmoreland Rd, Bld F, Lake Forest, IL 60045-1679 | |
| (847) 295-1114 | |
| (847) 295-9373 |
| Full Name | Dr Leslie Jay Block |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology - Pediatric Otolaryngology |
| Location | 700 N Westmoreland Rd, Lake Forest, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750300166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207YP0228X | Otolaryngology - Pediatric Otolaryngology | (Illinois) | Primary |
| Entity Name | Northwestern Medical Faculty Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
| Entity Name | Lake County Head And Neck Specialists S.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851432157 PECOS PAC ID: 3476640459 Enrollment ID: O20071108000009 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Leslie Jay Block, MD 700 N Westmoreland Rd, Bld F, Lake Forest, IL 60045-1679 Ph: (847) 295-1114 | Dr Leslie Jay Block, MD 700 N Westmoreland Rd, Bld F, Lake Forest, IL 60045-1679 Ph: (847) 295-1114 |
Dr. Allen Carlins, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 700 N Westmoreland Rd, Building F, Lake Forest, IL 60045 Phone: 847-295-1114 | |
Dr. Alan Freint, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 990 S Waukegan Rd Ste 200, Lake Forest, IL 60045 Phone: 847-234-0555 Fax: 847-234-0355 | |
Dr. Keith Leitzen, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 800 N Westmoreland Rd Ste 102, Lake Forest, IL 60045 Phone: 847-535-6464 | |
Dr. Landon Jess Duyka, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 700 N Westmoreland Rd, Suite F, Lake Forest, IL 60045 Phone: 847-295-1114 Fax: 847-295-9373 | |
Dr. Alex B Labby, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 800 N Westmoreland Rd Ste 102, Lake Forest, IL 60045 Phone: 847-535-6536 |