Individual
DR. LEON M HUDDLESTON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1401 S CALIFORNIA AVE, CHICAGO, IL 60608-1858
(773) 522-2010
Mailing address
PO BOX 7227, WESTCHESTER, IL 60154-7227
(708) 786-2900
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-113839-1
—
IL
Enumeration date
09/13/2005
Last updated
07/08/2007
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