Individual
RICHARD LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2004 CEDAR ST, DES PLAINES, IL 60018
(312) 401-8580
Mailing address
2004 CEDAR ST, DES PLAINES, IL 60018-3112
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/17/2018
Last updated
05/30/2018
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