Dr. Michael Leonardi
Gynecologist - Maternal & Fetal Medicine
4911 N Executive Dr Suite 200
Peoria
, Illinois 61614-4896
Dr. Michael Leonardi
Gynecologist - Maternal & Fetal Medicine
4911 N Executive Dr Suite 200
Peoria
, Illinois 61614-4896
(309) 683-6734
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About
Features
Specialties
- Gynecologist - Maternal & Fetal Medicine
Languages spoken
- English
Location
First Address
- Dr. Michael Leonardi
- Po Box 9276
- Peoria, IL
- Zip : 61612-9276
- Fax : (309) 683-6734
- Phone : (309) 683-6704
Second Address
- Dr. Michael Leonardi
- 4911 N Executive Dr Suite 200
- Peoria, IL
- Zip : 61614-4896
- Fax : (309) 683-6722
- Phone : (309) 683-6700
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 036085640 | IL |
National Provider Identifier
| NPI | 1033295738 |
|---|---|
| Provider Name | Dr. Michael Leonardi |
| First Address | Peoria, IL 61612-9276 |
| Second Address | Peoria, IL 61614-4896 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/10/2006 |
| Last Update Date | 15/04/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036085640 | (05) | IL |
| F84201 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.