Individual
MIKHAIL LEONEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7178 BUCHANAN DR, GURNEE, IL 60031-5251
(224) 522-9743
Mailing address
7178 BUCHANAN DR, GURNEE, IL 60031-5251
(224) 522-9743
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
10/29/2021
Last updated
10/29/2021
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