Individual
DR. LESLIE L BALDWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1526 WEST JACKSON ST, MACOMB, IL 61455
(309) 837-1466
Mailing address
1526 WEST JACKSON ST, MACOMB, IL 61455
(309) 837-1466
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5582006
BCBS
IL
Enumeration date
01/22/2007
Last updated
07/08/2007
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