Individual
DR. EDWARD LEON
Active
Individual
DR. EDWARD LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0361409383
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036109383
BCILLINOIS
—
05
—
036109383001
—
IL
05
—
1582965
—
IA
01
—
225150
IHS
—
01
—
93334
BCWELLMARK 7TH
—
01
—
93378
BCWELLMARK WEST
—
01
—
IL0181
JOHN DEERE ILLINOIS
—
01
—
P00053389
RR MEDICARE
—
Enumeration date
02/17/2006
Last updated
11/17/2012
Update your record
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