Individual
DR. EDWARD LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2300 N EDWARD ST, EMERGENCY DEPT, DECATUR, IL 62526-4163
(217) 876-3000
Mailing address
2300 N EDWARD ST, EMERGENCY DEPT, DECATUR, IL 62526-4163
(217) 876-3000
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
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