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General NPI Number Information
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NPI Number | 1407809338
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Entity Type | Individual
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Provider Name | THOMAS MICHAEL LESKOVAC MD
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Gender | Male
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 07/18/2008
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Provider Practice Location Address
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Address Line | 27750 W HIGHWAY 22 SUITE 240
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City | BARRINGTON
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State | IL
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Zip | 60010-2379
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Country | US
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Telephone | 847-829-1600
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Fax |
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Provider Business Mailing Address
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Address Line | 1919 S HIGHLAND AVE SUITE B202 ATTN JAN LEWIS
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City | LOMBARD
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State | IL
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Zip | 60148-6153
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Country | US
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Telephone | 630-268-1102
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Fax | 630-268-1125
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 036058314
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License Number State | IL
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