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Individual

MR. BRUCE FRANK LEO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
HEARING INSTRUMENT D

Contact information

Practice address
5553 W. 127TH ST, CRESTWOOD, IL 60445
(815) 942-0003
(815) 942-1851
Mailing address
880 BEDFORD RD, MORRIS, IL 60450-1209
(815) 942-0003
(815) 942-1851

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
2091
IL

Other

Enumeration date
03/30/2016
Last updated
03/30/2016
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