Healthcare Provider Details

I. General information

NPI: 1043216286
Provider Name (Legal Business Name): JOHN HENRY LENO M.D. FACOG
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2005
Last Update Date: 02/04/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1106 4TH AVE
MOLINE IL
61265-1231
US

IV. Provider business mailing address

500W RIVER DR
DAVENPORT IA
52801-1014
US

V. Phone/Fax

Practice location:
  • Phone: 563-336-3000
  • Fax: 563-327-2045
Mailing address:
  • Phone: 563-336-3000
  • Fax: 563-327-2045

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number036101226
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number036101226
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: