Individual
JOEL S LEIFHEIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
920 WEST ST, SUITE 111, PERU, IL 61354
(815) 223-4273
(815) 223-4328
Mailing address
920 WEST ST, SUITE 111, PERU, IL 61354
(815) 223-4273
(815) 223-4328
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036093954
IL
208000000X
Pediatrics Physician
036093954
IL
Other
Enumeration date
09/07/2006
Last updated
02/14/2011
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