Jack C. Leong MD Sc

NPI #1013448448 in Chicago, Illinois

Provider Information

NPI Number: 1013448448
Entity Type: Organization
Organization Name: Jack C. Leong MD Sc
Subpart: Yes (part of a larger organization)
Parent Organization: CICERO PROMPT CARE AND FAMILY MEDICAL CENTER
Primary Specialty: Family Medicine
Enumeration Date: Mar 27, 2017
Last Updated: Oct 20, 2020

Practice Location

Address: 3000 N CICERO AVE
City: Chicago
State: Illinois
ZIP Code: 60641-5106
Phone: (773) 231-2885

Authorized Official

Name: DR. JACK C LEONG
Title: M.D, S.C.
Phone: (773) 282-3115

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Allergy & Immunology	207K00000X
Clinic/Center - Primary Care — Primary Care	261QP2300X
Health Maintenance Organization	302R00000X
Preferred Provider Organization	305R00000X
Family Medicine	207Q00000X	Primary

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