Individual
MR. CORWIN-DANIEL OSCAR LEBLANC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1556 SEVEN PINES RD APT I, SPRINGFIELD, IL 62704-6662
(217) 370-4758
Mailing address
1556 SEVEN PINES RD APT I, SPRINGFIELD, IL 62704-6662
(217) 370-4758
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
IL
Other
Enumeration date
01/06/2026
Last updated
01/06/2026
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