Healthcare Provider Details

I. General information

NPI: 1376543421
Provider Name (Legal Business Name): LESLIE S ZUN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2005
Last Update Date: 11/03/2025
Certification Date: 11/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2701 PATRIOT BLVD STE 110
GLENVIEW IL
60026-8039
US

IV. Provider business mailing address

2317 MEADOW DR S
WILMETTE IL
60091-2201
US

V. Phone/Fax

Practice location:
  • Phone: 847-475-2273
  • Fax: 847-998-9005
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number036066812
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: