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Organization

LEO G. PEPA, M.D.,LTD.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. BERNICE K. DREVS (MGR)
(847) 428-0400
Entity
Organization

Contact information

Practice address
2425 RPYAL BLVD, SUITE 200, ELGIN, IL 60123-2507
(847) 428-0400
(847) 428-0534
Mailing address
2425 ROYAL BLVD, ELGIN, IL 60123-2507
(847) 428-0400
(847) 428-0534

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036044641
IL
01
1669551685
NPI
IL
Enumeration date
01/18/2007
Last updated
01/30/2012
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