Basic Information
Provider Information
NPI: 1003140880
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FINKEL
FirstName: LESLIE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5721 S MARYLAND AVE
Address2: DEPARTMENT OF PEDIATRICS- MC 8016
City: CHICAGO
State: IL
PostalCode: 606371425
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 5721 S MARYLAND AVE
Address2: DEPARTMENT OF PEDIATRICS- MC 8016
City: CHICAGO
State: IL
PostalCode: 606371425
CountryCode: US
TelephoneNumber: 7737026435
FaxNumber: 7738340748
Other Information
ProviderEnumerationDate: 09/25/2009
LastUpdateDate: 09/25/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000X125056818ILY Allopathic & Osteopathic PhysiciansPediatrics 

No ID Information.


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