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NPI Code Detail

MEDICARE: GALINA LESHCHINSKAYA

MEDICARE:   GALINA  LESHCHINSKAYA
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
1174400000XSpecialistIL

General Provider Information

NPI Number : 1780701680
Entity Type Code : Individual
Provider Name (Legal Business Name) : GALINA LESHCHINSKAYA
Provider Business Mailing Address
First Line : 3938 VENICE CT
Second Line :
City : GLENVIEW
State : IL
Zip : 60025-1730
Country : US
Telephone Number : 847-759-9534
Fax Number : 847-759-9534
Provider Business Practice Location Address
First Line : 5441 N EAST RIVER RD UNIT 104
Second Line :
City : CHICAGO
State : IL
Zip : 60656-1199
Country : US
Telephone Number : 773-444-2410
Fax Number : 773-444-2410
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2007
Last Update Date : 07/08/2007

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Directions to “ GALINA LESHCHINSKAYA ” Practice Location

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