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Individual

NATHAN S LEDEAUX

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3 ERIE CT, OAK PARK, IL 60302-2519
(708) 383-6200
Mailing address
309 W JOHNSON ST APT 1043, MADISON, WI 53703-3671

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036.163851
IL
207P00000X
Emergency Medicine Physician
Primary
77620-20
WI

Other

Enumeration date
12/17/2015
Last updated
11/22/2024
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