Individual
DR. THEODORE STANLEY LEONAS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1365 BENTON ST, CRETE, IL 60417-2850
(708) 672-4414
(708) 672-4424
Mailing address
1365 BENTON ST, CRETE, IL 60417-2850
(708) 672-4414
(708) 672-4424
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
16-003153
IL
Other
Enumeration date
09/28/2006
Last updated
04/17/2008
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