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General NPI Number Information
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NPI Number | 1245275890
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Entity Type | Organization
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Legal Business Name | LEDA SANCHEZ MD SC
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Dates
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Enumeration Date | 06/18/2006
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Last Update Date | 09/01/2011
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Provider Practice Location Address
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Address Line | 5140 NORTH CALIFORNIA AVENUE SUITE 620
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City | CHICAGO
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State | IL
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Zip | 60625-3664
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Country | US
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Telephone | 312-952-9692
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Fax | 773-907-3531
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Provider Business Mailing Address
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Address Line | 360 E RANDOLPH ST SUITE 3907
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City | CHICAGO
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State | IL
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Zip | 60601-7340
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Country | US
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Telephone | 312-946-1828
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Fax | 773-907-3531
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Authorized Official
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Title or Position | PRESIDENT
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Name | LEDA ARELY SANCHEZ
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Credential | MD
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Telephone | 312-946-1828
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 036075901
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License Number State | IL
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