Individual
TYLER LEGRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
530 N.E. GLEN OAK AVENUE, PEORIA, IL 61637
(309) 655-2274
Mailing address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 422-8033
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
125074255
IL
208000000X
Pediatrics Physician
Primary
77084
WI
Other
Enumeration date
05/30/2019
Last updated
07/11/2022
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