Individual
DR. WILBERT M. LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
2708 MCGRAW DR, BLOOMINGTON, IL 61704-6012
(309) 663-2306
(309) 662-1213
Mailing address
2708 MCGRAW DR, BLOOMINGTON, IL 61704-6012
(309) 663-2306
(309) 662-1213
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016004981
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016004981
—
IL
Enumeration date
08/31/2006
Last updated
08/12/2016
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