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NPI Code Detail

MEDICARE: MEGAN LEONARD PA

MEDICARE:   MEGAN  LEONARD  PA
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
1363A00000XPhysician Assistant085006858IL

General Provider Information

NPI Number : 1588148126
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN LEONARD PA
Provider Business Mailing Address
First Line : 900 RAND RD STE 300
Second Line :
City : DES PLAINES
State : IL
Zip : 60016-2359
Country : US
Telephone Number : 847-324-3976
Fax Number : 847-929-1154
Provider Business Practice Location Address
First Line : 951 ESSINGTON RD
Second Line :
City : JOLIET
State : IL
Zip : 60435-8439
Country : US
Telephone Number : 815-744-4551
Fax Number : 815-744-4756
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2018
Last Update Date : 06/09/2021

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Directions to “ MEGAN LEONARD PA” Practice Location

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