Leader, David S

Leader, David S is an individual health care provider with primary practice located at 1877 W Downer Pl , Aurora IL 60506-7302. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Leader, David S can be contacted via phone (630) 906-5121.

Contact Information

Primary practice address
1877 W Downer Pl Aurora IL 60506-7302
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 036-067126 Illinois

Profile Details

NPI number 1609885474
LBN Legal business name Leader, David S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2006
Last updated May 13th, 2011 - about 15 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 1609885474 NPPES
Illinois MEDICAID 036067126

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