Individual
ELLEN R LESKOVISEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
611 W. PARK ST., URBANA, IL 61801
(217) 383-3610
Mailing address
611 W. PARK ST., FAPC, URBANA, IL 61801
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209018685
IL
363LF0000X
Family Nurse Practitioner
Primary
209018685
IL
Other
Enumeration date
04/06/2020
Last updated
04/24/2026
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