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Individual
DR. LEO KANEV
Active
Individual
DR. LEO KANEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036102811
IL
208M00000X
Hospitalist Physician
Primary
036102811
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01627201
BCBS
IL
01
—
036102811
STATE LICENSE
IL
05
—
36102811
—
IL
Enumeration date
08/29/2005
Last updated
04/10/2025
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