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Individual

DAVID S LEADER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1877 W DOWNER PL, AURORA, IL 60506-7302
(630) 906-5121
Mailing address
1870 W GALENA BLVD, AURORA, IL 60506-4356
(630) 859-6700

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036-067126
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036067126
IL
Enumeration date
08/07/2006
Last updated
05/13/2011
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