Fredric Donald Leary JR., M.D.

NPI #1255475570 in Oak Park, Illinois

Provider Information

NPI Number: 1255475570
Entity Type: Individual
Name: Fredric Donald Leary JR., M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Feb 19, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1135 S GROVE AVE
City: Oak Park
State: Illinois
ZIP Code: 60304-1908
Phone: (708) 524-5079

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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