Celesia Leonard in Berwyn - Physician Assistant
Celesia Leonard - NPI 1609878370
Celesia Leonard is a Physician Assistant in Berwyn, Illinois. Celesia Leonard practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Celesia Leonard is 1609878370. The last update date is 2012-03-08.
Celesia Leonard's current location address is 3249 S. Oak Park Ave, Berwyn, Illinois. You can contact this provider via phone number 7087836000. The mailing address for Celesia Leonard is 3249 S. Oak Park Ave, Berwyn, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Celesia Leonard |
|---|---|
| Address | 3249 S. Oak Park Ave, Berwyn, Illinois |
| Phone Number | 7087836000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1609878370 |
|---|---|
| Provider Enumeration Date | 2005-08-12 |
| Last Updated Date | 2012-03-08 |
Provider Mailing Address Detail
| Address | 3249 S. Oak Park Ave |
|---|---|
| City | Berwyn |
| State | Illinois (IL) |
| Post Code | 60402 |
| Phone Number | 7087836000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 085-002010 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique identifier code issued to Celesia Leonard by the Centers for Medicare & Medicaid Services?
The Celesia Leonard has been assigned the NPI (National Provider Identifier) 1609878370. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Celesia Leonard?
The Celesia Leonard is situated at 3249 S. Oak Park Ave, in the city of Berwyn, state of IL, with the zip code 60402.
What is Celesia Leonard's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Celesia Leonard is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
When did the Celesia Leonard receive its 1609878370?
The Celesia Leonard was issued its 1609878370 on 2005-08-12, which is the date when the organization was assigned this unique identifier.
When was the information regarding Celesia Leonard most recently updated?
The details pertaining to the Celesia Leonard, including its address, specialty, and other relevant information, were last refreshed on 2012-03-08.
NPI Number: 1417950320
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