Andrey Leonov is a Pediatrics in Joliet, Illinois. Andrey Leonov practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Andrey Leonov is 1043310261. The last update date is 2023-08-10.
Andrey Leonov's current location address is 2100 Glenwood Ave, Joliet, Illinois. You can contact this provider via phone number 8155142712. The mailing address for Andrey Leonov is 2100 Glenwood Ave, Joliet, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andrey Leonov |
|---|---|
| Address | 2100 Glenwood Ave, Joliet, Illinois |
| Phone Number | 8155142712 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1043310261 |
|---|---|
| Provider Enumeration Date | 2006-09-25 |
| Last Updated Date | 2023-08-10 |
Provider Mailing Address Detail
| Address | 2100 Glenwood Ave |
|---|---|
| City | Joliet |
| State | Illinois (IL) |
| Post Code | 604355487 |
| Phone Number | 8155142712 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 248493 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2745373 | OH | -- |
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What is the unique 10-digit identifier code assigned to Andrey Leonov by the Centers for Medicare & Medicaid Services?
The Andrey Leonov has been issued the NPI (National Provider Identifier) 1043310261 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Andrey Leonov's physical address?
The Andrey Leonov is physically located at 2100 Glenwood Ave, in the city of Joliet, IL, with the postal code 604355487.
What is Andrey Leonov's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Andrey Leonov is Pediatrics, and the taxonomy code that classifies this field of practice is 208000000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1043310261 to Andrey Leonov?
The Centers for Medicare & Medicaid Services originally issued the 1043310261 to Andrey Leonov on 2006-09-25.
When was the information regarding Andrey Leonov, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Andrey Leonov, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-08-10.
NPI Number: 1629243761
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