Leonov, Andrey

Leonov, Andrey is an individual health care provider with primary practice located at 2100 Glenwood Ave , Joliet IL 60435-5487. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Leonov, Andrey can be contacted via phone (815) 514-2712.

Contact Information

Primary practice address
2100 Glenwood Ave Joliet IL 60435-5487
Phone: (815) 514-2712
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 248493 New York
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35089736 Ohio
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25MA08039700 New Jersey
Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology 2080P0201X 4301107932 Michigan
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 036-125826 Illinois

Profile Details

NPI number 1043310261
LBN Legal business name Leonov, Andrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Aug 10th, 2023 - about 2 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 1043310261 NPPES
Ohio MEDICAID 2745373

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