Jack C Leong MD SC
Jack C Leong MD SC is a Primary Care Clinic/Center in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2007.
- Licensed in
- IL
- In the registry since
- 2007
Practice location Address checks out
3000 N Cicero AveChicago, IL 60641-5106
Phone: (773) 282-3115
Fax: (773) 282-0590
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Specialties & licences
| Primary Care Clinic/Center (primary) | Taxonomy 261QP2300X · Licence 036070436 (IL) |
|---|
Record details
| NPI number | 1437357480 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jack Leong — Medical Director · (773) 282-3115 |
| NPI enumerated | July 10, 2007 |
| Last updated in NPPES | October 20, 2020 |
| Certification date | October 20, 2020 |
| Mailing address | 3000 N Cicero Ave, Chicago, IL 60641-5106 |
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