Individual
DR. JOHN LEUTHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
256 E GRAND AVE, FOX LAKE, IL 60020-1684
(847) 370-6712
Mailing address
6615 GRAND AVE # 1037, GURNEE, IL 60031-4591
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
01078547
IN
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036150646
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/18/2013
Last updated
08/23/2024
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