Individual
DR. KATHLEEN A LEINEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
106 S 1ST ST STE 100, FAIRBURY, IL 61739-1509
(815) 692-2308
(815) 692-3278
Mailing address
106 S 1ST ST STE 100, FAIRBURY, IL 61739-1509
(815) 692-2308
(815) 692-3278
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036121354
IL
207Q00000X
Family Medicine Physician
N0919
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036121354
—
IL
05
—
209713102
—
TX
01
—
N0919
TX LICENSE
TX
Enumeration date
08/29/2008
Last updated
12/05/2025
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