Benjamin William Leacock

NPI #1639375140 in Greenville, Illinois

Provider Information

NPI Number: 1639375140
Entity Type: Individual
Name: Benjamin William Leacock
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Emergency Medicine
Enumeration Date: Jun 22, 2007
Last Updated: Mar 11, 2025

Practice Location

Address: 200 HEALTH CARE DR
City: Greenville
State: Illinois
ZIP Code: 62246-1154
Phone: (618) 664-1230

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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