Ronald Jay Leib in Crystal Lake - Foot & Ankle Surgery
Ronald Jay Leib - NPI 1548315021
Ronald Jay Leib is a Foot & Ankle Surgery in Crystal Lake, Illinois. Ronald Jay Leib practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Ronald Jay Leib is 1548315021. The last update date is 2007-07-09.
Ronald Jay Leib's current location address is 39 S Virginia St, Crystal Lake, Illinois. You can contact this provider via phone number 8154779221 and fax number 8154778916. The mailing address for Ronald Jay Leib is 39 S Virginia St, Crystal Lake, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ronald Jay Leib |
|---|---|
| Address | 39 S Virginia St, Crystal Lake, Illinois |
| Phone Number | 8154779221 |
| Fax Number | 8154778916 |
| Sole Proprietor | Y |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1548315021 |
|---|---|
| Provider Enumeration Date | 2007-01-24 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 39 S Virginia St |
|---|---|
| City | Crystal Lake |
| State | Illinois (IL) |
| Post Code | 600145826 |
| Phone Number | 8154779221 |
| Fax Number | 8154778916 |
Provider's Primary Taxonomy Detail
| Speciality | Foot & Ankle Surgery |
|---|---|
| Taxonomy | 213Es0103X |
|
Definition: A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5619947 | IL | BC BS OF ILLINOIS |
Post Comment/ Review Below
What is the unique identification code assigned to Ronald Jay Leib by the Centers for Medicare & Medicaid Services?
The Ronald Jay Leib has been issued the NPI (National Provider Identifier) 1548315021. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Ronald Jay Leib's facilities are situated?
The facilities of Ronald Jay Leib are physically located at the following address: 39 S Virginia St, Crystal Lake, IL, 600145826.
What is Ronald Jay Leib's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Ronald Jay Leib's specialized field of practice is Foot & Ankle Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 213Es0103X.
On what date did the Ronald Jay Leib receive the assignment of its 1548315021 from the Centers for Medicare & Medicaid Services?
The Ronald Jay Leib was issued its 1548315021 by the Centers for Medicare & Medicaid Services on 2007-01-24.
When was the information regarding Ronald Jay Leib, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Ronald Jay Leib, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-09.