Individual
DR. LOUIS A LESKOSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 W MAIN ST, MARION, IL 62959-1188
(618) 997-5311
Mailing address
2401 W MAIN ST, MARION, IL 62959-1188
(618) 997-5311
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036-122191
IL
2085R0202X
Diagnostic Radiology Physician
25MA12169000
NJ
2085R0202X
Diagnostic Radiology Physician
34939
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000574645
ANTHEM BCBS
KY
01
—
24939
KY MEDICAL LICENSE
KY
05
—
64439391
—
KY
01
—
P01002604
RAILROAD MEDICARE
—
Enumeration date
06/12/2006
Last updated
05/22/2024
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