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Individual

MR. EDWARD TIMOTHY LEBLANC

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
4309 W MEDICAL CENTER DR STE A200, MCHENRY, IL 60050-8437
(815) 759-8070
(815) 759-4931
Mailing address
4309 W MEDICAL CENTER DR STE A200, MCHENRY, IL 60050-8437
(815) 759-8070
(815) 759-4931

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085009681
IL
363AS0400X
Surgical Physician Assistant
3644-23
WI

Other

Enumeration date
01/04/2013
Last updated
09/08/2023
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