Leon, Edward

Leon, Edward is an individual health care provider with primary practice located at 2300 N Edward St Emergency Dept, Decatur IL 62526-4163. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Leon, Edward can be contacted via phone (217) 876-3000.

Contact Information

Primary practice address
2300 N Edward St Emergency Dept Decatur IL 62526-4163
Phone: (217) 876-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 0361409383 Illinois

Profile Details

NPI number 1164496865
LBN Legal business name Leon, Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Nov 17th, 2012 - about 12 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 1164496865 NPPES
Illinois MEDICAID 036109383001
Illinois Other IL0181
Illinois Other 036109383
Illinois Other 225150
Illinois Other P00053389
Illinois MEDICAID 1582965
Illinois Other 93334
Illinois Other 93378

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