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Individual

MRS. GABRIELA R LEON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
486 RANDALL RD UNIT B, SOUTH ELGIN, IL 60177-3354
(224) 783-5000
Mailing address
26 BOATHOUSE RD, PINGREE GROVE, IL 60140-2045
(331) 222-6041

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209-016713
IL
363LF0000X
Family Nurse Practitioner
F08171104
IL

Other

Enumeration date
09/26/2017
Last updated
01/05/2024
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