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NPI Code Detail

MEDICARE: DR. LESLIE RENEE COCKERHAM M.D.

MEDICARE: DR. LESLIE RENEE COCKERHAM M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianA107527CA
2207RI0200XInfectious Disease PhysicianEMC0006901MI
3207RI0200XInfectious Disease Physician63203WI
4207R00000XInternal Medicine Physician63203WI
5207RI0200XInfectious Disease Physician2022049929MO

General Provider Information

NPI Number : 1326272162
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LESLIE RENEE COCKERHAM M.D.
Provider Business Mailing Address
First Line : PO BOX 18412
Second Line :
City : PALATINE
State : IL
Zip : 60055-8412
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1311 N 6TH ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53212-4006
Country : US
Telephone Number : 414-223-6800
Fax Number : 414-273-2357
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2009
Last Update Date : 04/23/2026

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