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Individual

LESLIE E LINDBERG

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1801 N STATE ROUTE 1, BUILDING 3 SUITE 1, WATSEKA, IL 60970-7703
(815) 432-0100
(815) 432-0900
Mailing address
641 E GRANT ST, WATSEKA, IL 60970-1812
(815) 432-4790
(815) 432-5059

Taxonomy

Speciality
Code
Description
License number
State
2085R0203X
Therapeutic Radiology Physician
Primary
36-036-720
IL

Other

Enumeration date
06/09/2006
Last updated
07/08/2007
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