Provider Demographics
NPI:1457635146
Name:KIRSCHNER, RONALD LESLIE (MD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:LESLIE
Last Name:KIRSCHNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3926 W TOUHY AVE
Mailing Address - Street 2:# 372
Mailing Address - City:LINCOLNWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60712-1028
Mailing Address - Country:US
Mailing Address - Phone:224-766-7669
Mailing Address - Fax:847-674-0892
Practice Address - Street 1:7301 N LINCOLN AVE
Practice Address - Street 2:STE 180
Practice Address - City:LINCOLNWOOD
Practice Address - State:IL
Practice Address - Zip Code:60712-1736
Practice Address - Country:US
Practice Address - Phone:224-766-7669
Practice Address - Fax:847-674-0892
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-29
Last Update Date:2021-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.047687174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist