Individual
DR. LEO GERARD BOURNEUF
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1655 N ARLINGTON HEIGHTS RD, SUITE 203E, ARLINGTON HEIGHTS, IL 60004-3982
(847) 259-8583
(847) 259-8935
Mailing address
1655 N ARLINGTON HEIGHTS RD, SUITE 203E, ARLINGTON HEIGHTS, IL 60004-3982
(847) 259-8583
(847) 259-8935
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21623169
BLUE CROSS BLUE SHIELD
IL
Enumeration date
05/27/2006
Last updated
07/09/2007
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