Individual
JAZMIN DOMINIQUE LEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
410 E LE FEVRE RD, STERLING, IL 61081-1391
(815) 626-5050
Mailing address
24109 PILGRIM RD, STERLING, IL 61081-9331
(815) 441-4055
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
242.018543
IL
Other
Enumeration date
01/21/2026
Last updated
01/21/2026
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