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JG LEIJA MD FACA LTD NPI 1952469579


NPI Information

NPI: 1952469579
Provider Name: JG LEIJA MD FACA LTD
Classification: Allergy & Immunology - 207KA0200X
Entity Type: Organization

Specialization: Allergy

Address:
675 W NORTH AVE
SUITE 310
MELROSE PARK, IL
ZIP 60160
Phone: (708) 450-5054
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JG LEIJA MD FACA LTD is an allergy allergy immunology in Melrose Park, IL. The provider is a physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee JG LEIJA MD FACA LTD NPI is 1952469579. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

675 W NORTH AVE
SUITE 310
MELROSE PARK, IL
ZIP 60160-634
Phone: (708) 450-5054
Fax: (708) 450-9088

The provider's authorized official is Joseph G Leija .
The authorized official title is President Owner and has the following contact phone number (708) 450-5054.

The enumeration date for this NPI number is 12/5/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207KA0200XAllergy & ImmunologyAllergy03635559ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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