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NPI Code Detail

MEDICARE: DEEPAK LEEKHA MD

MEDICARE: DEEPAK LEEKHA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician036110801IL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00423437OTHERILRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
321606805OTHERILBCBS PROVIDER ID

General Provider Information

NPI Number : 1770540163
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEEPAK LEEKHA MD
Provider Business Mailing Address
First Line : 1S161 SUMMIT AVE
Second Line :
City : OAKBROOK TERRACE
State : IL
Zip : 60181-3904
Country : US
Telephone Number : 630-932-8000
Fax Number : 630-932-8025
Provider Business Practice Location Address
First Line : 5729 W CERMAK RD
Second Line :
City : CICERO
State : IL
Zip : 60804-2129
Country : US
Telephone Number : 708-652-0200
Fax Number : 708-652-9001
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2006
Last Update Date : 04/26/2021

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Directions to “ DEEPAK LEEKHA MD” Practice Location

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