Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MAYELA BEATRIZ LEAL CHANCHI, MD
Active Sole ProprietorMAYELA BEATRIZ LEAL CHANCHI, MD is a Sports Medicine (Pediatrics) healthcare provider located in OAK PARK, Illinois. NPI 1740785005 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Pediatrics) · OAK PARK, IL
Registration Details
- NPI Number
- 1740785005
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 28, 2018 (8.4193813429769 yrs)
- Last Updated
- Apr 19, 2024
- Licenses
-
287319 (MA)036167084 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3 ERIE CT STE 6160OAK PARK, IL, 603022519Browse IL providers · Browse ZIP 60302
- Phone
- 7084344007
- Fax
- 7084344008
- Primary Specialty
-
Sports Medicine (Pediatrics)
2080S0010X
- Additional Specialty
- Sports Medicine (Pediatrics)
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.