RUSSELL LEANDER, LCPC
Managed Care Organizations at Carmen Ave, Chicago, IL

License number
Illinois 180-006834
Category
Managed Care Organizations
Type
Preferred Provider Organization
Owner
Name: MR. RUSSELL J LEANDER LCPC
Title: OWNER
Phone: (773) 807-7734
Address
Address
1631 W Carmen Ave, Chicago, IL 60640
National Provider ID: 1053731760
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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