Individual
LEIGHTON V ARCENAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
801 ILLINI DR, SILVIS, IL 61282-1804
(309) 792-9363
Mailing address
1228 E RUSHOLME ST, COGENT OFFICE MOB I, DAVENPORT, IA 52803-2453
(563) 421-3122
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-066279
IL
207R00000X
Internal Medicine Physician
Primary
27859
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0080200
—
IA
01
—
019489
IOWA BC/BS
IA
01
—
067240
HEALTH ALLIANCE #
IA
01
—
1234733
CONTROLLED SUBSTANCE #
IA
05
—
421060724002
—
IL
01
—
42106072439
JOHN DEERE HEALTH
IA
01
—
8122859
ILLINOIS BC/BS
IL
01
—
IA0139
JOHN DEERE EDI #
IA
01
—
IL1240005
ILLINOIS MEDICARE
IL
Enumeration date
09/06/2005
Last updated
03/07/2023
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