Doctor Name: | KAREN LEONE |
NPI Number: | 1013004928 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 36062823 |
Business Practice Address: | 3001 6th St Suite A Great Lakes, IL - 600882833 |
Business Phone Number: | 8476882755 |
Business Fax Number: | |
Mailing Address: | 3001 6th St, Suite A GREAT LAKES |
State: | IL |
Postal Code: | 600882833 |
Phone Number: | 8476882755 |
Fax Number: | |
NPI Enumeration Date: | 10/10/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 36062823 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |