Individual
JULIA KIM LEBLANC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
875 SOUTH ROUTE 31, CRYSTAL LAKE, IL 60014-8190
(779) 220-5500
(779) 220-5571
Mailing address
875 S ROUTE 31, CRYSTAL LAKE, IL 60014-8190
(779) 220-5500
(779) 220-5571
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01055473A
IN
207RG0100X
Gastroenterology Physician
01055473
IN
207RG0100X
Gastroenterology Physician
Primary
036093017
IL
Other
Enumeration date
04/13/2006
Last updated
10/06/2023
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