| Leonard Dubin Md Llc | |
|
675 W North Ave Suite 409 Melrose Park IL 60160-1634 | |
| (708) 450-5070 | |
| Not Available |
| Full Name | Leonard Dubin Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 675 W North Ave, Melrose Park, Illinois |
| Authorized Official Name and Position | Leonard Dubin (MEMBER) |
| Authorized Official Contact | 7086325566 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Leonard Dubin Md Llc 675 W North Ave Ste 401 Melrose Park IL 60160-1624 Ph: (708) 632-5566 | Leonard Dubin Md Llc 675 W North Ave Suite 409 Melrose Park IL 60160-1634 Ph: (708) 450-5070 |
| NPI Number | 1558667451 |
|---|---|
| Provider Enumeration Date | 02/10/2011 |
| Last Update Date | 03/17/2018 |
| Medicare PECOS PAC ID | 0941485775 |
|---|---|
| Medicare Enrollment ID | O20110421000083 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558667451 | NPI | - | NPPES |
| 036104972 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036104972 (Illinois) | Primary |
| Provider Name | Leonard Dubin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518976737 PECOS PAC ID: 4385639905 Enrollment ID: I20040414001840 |
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