Leya, Jack

Leya, Jack is an individual health care provider with primary practice located at 2160 S First Ave (Fahey Bldg., Rm. 007), Maywood IL 60153. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Leya, Jack can be contacted via phone (708) 216-3307.

Contact Information

Primary practice address
2160 S First Ave (Fahey Bldg., Rm. 007) Maywood IL 60153
Phone: (708) 216-3307
Fax: (708) 216-4113
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 36066173 Illinois

Profile Details

NPI number 1336128602
LBN Legal business name Leya, Jack
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2006
Last updated Oct 10th, 2023 - about last year

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1336128602 NPPES
Illinois MEDICAID 36066173

Popular Providers