Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LEONID AYZENBERG, M.D
Active Sole ProprietorOphthalmology · MOUNT PROSPECT, IL
Registration Details
- NPI Number
- 1164519526
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 6, 2006 (19.558479468518 yrs)
- Last Updated
- Dec 22, 2022
- License
-
036095153 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
303 E. RAND RDMOUNT PROSPECT, IL, 600561508Browse IL providers · Browse ZIP 60056
- Phone
- 8475376800
- Fax
- 8475568847
- Primary Specialty
-
Ophthalmology
207W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.