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1336128602
JACK LEYA
MAYWOOD, IL
NPI
1336128602
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RG0100X Internal Medicine, Gastroenterology
(Licence: IL 36066173)
Enumeration Date
2006-01-13
Last Update Date
2023-10-10
Business Address
JACK LEYA MD
2160 S FIRST AVE (FAHEY BLDG., RM. 007)
MAYWOOD, IL 60153
Phone number: 708-216-3307
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Mailing Address
JACK LEYA MD
2160 S FIRST AVE (FAHEY BLDG., RM. 007)
MAYWOOD, IL 60153
Phone number: 708-216-3307
Copy
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