Individual
DR. JOANNE M LEAHY-AUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 RIVERSIDE DR STE 2400, BOURBONNAIS, IL 60914-5068
(815) 935-4907
(815) 935-1723
Mailing address
300 RIVERSIDE DR STE 2400, BOURBONNAIS, IL 60914-5068
(815) 935-4907
(815) 935-1723
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036075476
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036075476
—
IL
Enumeration date
09/21/2006
Last updated
03/22/2021
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