Leonard D Elkun Md Sc | |
411 W Ontario St Suite 402 Chicago IL 60610-6945 | |
(312) 943-8322 | |
(312) 943-8323 |
Full Name | Leonard D Elkun Md Sc |
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Speciality | Psychiatry & Neurology |
Location | 411 W Ontario St, Chicago, Illinois |
Authorized Official Name and Position | Leonard David Elkun (PRESIDENT) |
Authorized Official Contact | 3129438322 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Leonard D Elkun Md Sc 411 W Ontario St Suite 402 Chicago IL 60610-6945 Ph: (312) 943-8322 | Leonard D Elkun Md Sc 411 W Ontario St Suite 402 Chicago IL 60610-6945 Ph: (312) 943-8322 |
NPI Number | 1356446306 |
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Provider Enumeration Date | 09/14/2006 |
Last Update Date | 04/24/2021 |
Certification Date | 04/24/2021 |
Medicare PECOS PAC ID | 0244391795 |
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Medicare Enrollment ID | O20081203000294 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356446306 | NPI | - | NPPES |
Provider Name | Leonard D Elkun |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1023129145 PECOS PAC ID: 6901967454 Enrollment ID: I20081203000264 |
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