Blyumin, Leonid

Blyumin, Leonid is an individual health care provider with primary practice located at 1405 W Morse Ave , Chicago IL 60626. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Blyumin, Leonid can be contacted via phone (773) 743-5100.

Contact Information

Primary practice address
1405 W Morse Ave Chicago IL 60626
Phone: (773) 743-5100
Fax: (773) 743-0932
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 016004759 Illinois

Profile Details

NPI number 1326142548
LBN Legal business name Blyumin, Leonid
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2006
Last updated Oct 3rd, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326142548 NPPES
Illinois MEDICAID 016004759

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