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Contact Information

MAYELA B LEAL CHANCHI, MD
3 ERIE CT STE 6160
OAK PARK, IL60302-2519
 Phone: 708-434-4007
 Fax: 708-434-4008
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

2080S0010X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for MAYELA B LEAL CHANCHI · (Female)

NPI # 1740785005
Status Active
Credentials MD
Entity Individual
Enumeration date 03/28/2018
Last updated 04/19/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 036167084
  • MA License # 287319
Hospital affiliation(s) Not Available
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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