Russell Leander, Lcpc

NPI #1053731760 in Chicago, Illinois

Provider Information

NPI Number
1053731760
Entity Type
Organization
Organization Name
Russell Leander, Lcpc
Primary Specialty
Preferred Provider Organization
Enumeration Date
Apr 21, 2014
Last Updated
Apr 21, 2014

Practice Location

Address
1631 W CARMEN AVE
ZIP Code
60640-2701
Phone
(773) 807-7734

Authorized Official

Name
MR. RUSSELL J LEANDER, LCPC
Title
OWNER
Phone
(773) 807-7734

Specialties & Taxonomy Codes

Specialty
Preferred Provider Organization

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