Most Relevant Information
Provider Data
| NPI Number: | 1003347394 |
| Provider Name: | STEPHEN LEB |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/27/2017 |
| Last Updated: | 11/18/2018 |
Provider Practice Location
355 E ERIE ST
CHICAGO
IL
606113167
Practice Location Phone/Fax
| Phone: | 3122382870 |
| Fax: |
Provider Mailing Location
200 E CHESTNUT ST APT 421
CHICAGO
IL
606112311
Provider Mailing Phone/Fax
| Phone: | 4407086973 |
| Fax: |