Leonid Ayzenberg, M.D. INC
Ophthalmology in Mt Prospect, IL. Organization (NPI-2).
NPI number1235294398
StatusActive
Last updated in NPPESApr 26, 2022
Details
- NPI
- 1235294398
- Entity type
- Organization (NPI-2)
- Legal business name
- Leonid Ayzenberg, M.D. INC
- Organization subpart
- No
- Enumeration date
- Dec 27, 2006
- Certification date
- Apr 11, 2022
- Last updated
- Apr 26, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | – | – | Yes |
Other names
- Eye Clinic Leonid Ayzenberg MD INC (Other Name)
Practice location
303 E. Rand RdMt Prospect, IL 60056-1508
Phone 847-537-6800 · Fax 847-556-8847
Mailing address
303 E. Rand RdMt Prospect, IL 60056-1508
Phone 847-537-6800 · Fax 847-556-8847
Other practice locations
2922 W Devon Ave
Chicago, IL 60659-1508
Chicago, IL 60659-1508
Phone 847-537-6800 · Fax 847-556-8847
Authorized official
Leonid Ayzenberg
President/Owner
8475376800
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