LEON BOR MA

MAYWOOD, IL
NPI1396494951
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: IL  125.080195)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-03-21
Last Update Date2022-05-24
Business Address
LEON BOR MA DO
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number: 626-922-9001
Mailing Address
LEON BOR MA DO
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number: 708-216-9169