Julie M Leidecker Ltd
NPI #1023239142 in Bourbonnais, Illinois
Provider Information
- NPI Number
- 1023239142
- Entity Type
- Organization
- Organization Name
- Julie M Leidecker Ltd
- Primary Specialty
- Physical Therapist
- Enumeration Date
- May 2, 2007
- Last Updated
- Jun 11, 2008
Practice Location
- Address
- 586 WILLIAM R LATHAM SR DR STE 6B
- City
- Bourbonnais
- State
- Illinois
- ZIP Code
- 60914-2338
- Phone
- (815) 935-0540
Authorized Official
- Name
- CINDY GERARD
- Title
- OFFICE MANGER
- Phone
- (815) 935-0540
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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