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Individual

DR. LEO G PEPA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
201 PENNY AVE, #200, EAST DUNDEE, IL 60118
(847) 428-0400
(847) 428-0534
Mailing address
201 PENNY AVE, #200, EAST DUNDEE, IL 60118
(847) 428-0400
(847) 428-0534

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1255484028
CORP. NPI
IL
01
1669551685
NPI
IL
Enumeration date
11/02/2006
Last updated
07/08/2007
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