DIANNE A DE LEON

CHICAGO, IL
NPI1851656516
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207N00000X Dermatology
(Licence: IL  036158125)
Additional Taxonomies207N00000X Dermatology
(Licence: MA  266092)
Enumeration Date2012-07-09
Last Update Date2021-12-07
Business Address
DIANNE A DE LEON MD
4732 N LINCOLN AVE STE 200
CHICAGO, IL 60625-8561
Phone number: 312-695-8106
Mailing Address
DIANNE A DE LEON MD
4732 N LINCOLN AVE STE 200
CHICAGO, IL 60625-8561
Phone number: 312-695-8106