Leung, Jason G

Leung, Jason G is an sole proprietor health care provider with primary practice located at 955 Beisner Rd Ste 1509 , Elk Grove Village IL 60007-3475. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Leung, Jason G can be contacted via phone (847) 631-5664.

Contact Information

Primary practice address
955 Beisner Rd Ste 1509 Elk Grove Village IL 60007-3475
Phone: (847) 631-5664
Fax: (847) 631-5663
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 4301105954 Michigan
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 036-142584 Illinois

Profile Details

NPI number 1427497122
LBN Legal business name Leung, Jason G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 17th, 2013
Last updated Dec 4th, 2017 - about 7 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 1427497122 NPPES
Illinois MEDICAID 036142584-1

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