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NPI Code Detail

MEDICARE: LEONARD STALLINGS MD & ASSOCIATES

MEDICARE: LEONARD STALLINGS MD & ASSOCIATES
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 Physician036071417IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053481176
Entity Type Code : Organization
Provider Name (Legal Business Name) : LEONARD STALLINGS MD & ASSOCIATES
Provider Business Mailing Address
First Line : PO BOX 5128
Second Line :
City : RIVER FOREST
State : IL
Zip : 60305
Country : US
Telephone Number : 773-265-4639
Fax Number : 773-265-4576
Provider Business Practice Location Address
First Line : 5120 W JACKSON BLVD
Second Line :
City : CHICAGO
State : IL
Zip : 60644-4332
Country : US
Telephone Number : 773-265-4566
Fax Number : 773-265-4576
Authorized Official
Title or Position : PRESIDENT
Name : DR. LEONARD STALLINGS
Credential : MD
Telephone Number : 773-265-4566
Provider Enumeration Date : 11/08/2006
Last Update Date : 05/19/2014

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Directions to “LEONARD STALLINGS MD & ASSOCIATES ” Practice Location

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