Stewart John Leedham
Primary Podiatric Medicine
1134 N Henderson St Suite F
Galesburg
, Illinois 61401-2575
Stewart John Leedham
Primary Podiatric Medicine
1134 N Henderson St Suite F
Galesburg
, Illinois 61401-2575
(309) 343-3567
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About
Features
Specialties
- Primary Podiatric Medicine
Languages spoken
- English
Location
First Address
- Stewart John Leedham
- 1134 N Henderson St Suite F
- Galesburg, IL
- Zip : 61401-2575
- Fax : (309) 343-3567
- Phone : (309) 343-7665
Second Address
- Stewart John Leedham
- 1134 N Henderson St Suite F
- Galesburg, IL
- Zip : 61401-2575
- Fax : (309) 343-3567
- Phone : (309) 343-7665
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213EP1101X | Primary Podiatric Medicine | IL |
National Provider Identifier
| NPI | 1083693493 |
|---|---|
| Provider Name | Stewart John Leedham |
| First Address | Galesburg, IL 61401-2575 |
| Second Address | Galesburg, IL 61401-2575 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/01/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| U11703 | (02) | IL |
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.