Individual
DANIEL LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1340 CHARLES ST STE 405, ROCKFORD, IL 61104-2200
(779) 696-6102
(779) 696-6026
Mailing address
3291 WINNEGAMIE DR, APPLETON, WI 54914-9023
(708) 612-0480
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-131017
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
036-131017
IL
207RP1001X
Pulmonary Disease Physician
036-131017
IL
207RP1001X
Pulmonary Disease Physician
64155
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036-131017
STATE LICENSE
IL
01
—
125057108
STATE LICENSE
IL
01
—
64155
STATE LICENSE
WI
Enumeration date
07/10/2009
Last updated
05/15/2026
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