Bourneuf, Leo Gerard

Bourneuf, Leo Gerard is an individual health care provider with primary practice located at 1655 N Arlington Heights Rd Suite 203E, Arlington Heights IL 60004-3982. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Bourneuf, Leo Gerard can be contacted via phone (847) 259-8583.

Contact Information

Primary practice address
1655 N Arlington Heights Rd Suite 203E Arlington Heights IL 60004-3982
Phone: (847) 259-8583
Fax: (847) 259-8935
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X Illinois

Profile Details

NPI number 1700833571
LBN Legal business name Bourneuf, Leo Gerard
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2006
Last updated Jul 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700833571 NPPES
Illinois Other 21623169 BLUE CROSS BLUE SHIELD

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