Organization
JOHN LENO, M.D. S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN HENRY LENO M.D. FACOG (CEO)
(309) 944-0245
Entity
Organization
Contact information
Practice address
600 N COLLEGE AVE STE 210, GENESEO, IL 61254-1093
(309) 944-0245
(309) 944-0541
Mailing address
9821 27TH ST, MILAN, IL 61264-3515
(309) 269-3280
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
36101226
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03732008
BLUE CROSS BLUE SHIELD
IL
Enumeration date
03/21/2007
Last updated
02/13/2008
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