Pardo, Leopoldo S.

Pardo, Leopoldo S. is an individual health care provider with primary practice located at 1667 Golf Course Dr , Belleville IL 62220-4824. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Pardo, Leopoldo S. can be contacted via phone (618) 257-8017.

Contact Information

Primary practice address
1667 Golf Course Dr Belleville IL 62220-4824
Phone: (618) 257-8017
Fax: (618) 257-8017
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 036087011 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036087011 Illinois

Profile Details

NPI number 1114913274
LBN Legal business name Pardo, Leopoldo S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2005
Last updated Apr 6th, 2020 - about 4 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 1114913274 NPPES
Illinois MEDICAID 1114913274
Illinois MEDICAID 036087011

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