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Organization
JULIE M LEIDECKER LTD
Active
Organization
JULIE M LEIDECKER LTD
Active
Other names
A STEP AHEAD PEDIATRIC THERAPY
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY GERARD (OFFICE MANGER)
(815) 935-0540
Entity
Organization
Contact information
Practice address
586 WILLIAM R LATHAM SR DR STE 6B, BOURBONNAIS, IL 60914-2338
(815) 935-0540
Mailing address
586 WILLIAM R LATHAM SR DR STE 6B, BOURBONNAIS, IL 60914-2338
(815) 935-0540
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447301643
J LEIDECKER NPI
IL
01
—
1861543068
C ANDERSON NPI
IL
01
—
341746853001
C ANDERSON
IL
05
—
358701965001
—
IL
Enumeration date
05/02/2007
Last updated
06/11/2008
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