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Contact Information

LEONID AYZENBERG, MD
303 E. RAND RD
MOUNT PROSPECT, IL60056-1508
 Phone: 847-537-6800
 Fax: 847-556-8847
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for LEONID AYZENBERG · (Male)

NPI Number 1164519526
Status Active
Credentials MD
Entity Individual
Enumeration date 10/06/2006
Last updated 12/22/2022 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 036095153
  • IL Medicaid 036095153
  • IL Other 1622332 BC & BS PROVIDER NUMBER
  • IL Other 364232115 TAX ID
Hospital affiliation(s)
  • NORTHWEST COMMUNITY HOSPITAL - (Acute Care)
    800 W CENTRAL ROAD
    ARLINGTON HEIGHTS, IL 60005
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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