Leahy-Auer, Joanne M

Leahy-Auer, Joanne M is an individual health care provider with primary practice located at 300 Riverside Dr Ste 2400 , Bourbonnais IL 60914-5068. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Leahy-Auer, Joanne M can be contacted via phone (815) 935-4907.

Contact Information

Primary practice address
300 Riverside Dr Ste 2400 Bourbonnais IL 60914-5068
Phone: (815) 935-4907
Fax: (815) 935-1723
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036075476 Illinois

Profile Details

NPI number 1548369317
LBN Legal business name Leahy-Auer, Joanne M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Mar 22nd, 2021 - about 5 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 1548369317 NPPES
Illinois MEDICAID 036075476

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