LEIST, LTD.
Ambulatory Health at Grant St, Orchard Heights, IL

License number
Illinois IL038012269
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: DR. DEREK ALAN LEIST D.C.
Title: PRESIDENT
Phone: (314) 954-1885
Address
Address
104 N Grant St, Orchard Heights, IL 62450
National Provider ID: 1710239264
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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