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Dr. Benjamin J Leak, MD
Urology Physician in Bloomington, Illinois
NPI 1043248867

Benjamin J Leak is a Urology Physician based in Bloomington, IL. Benjamin J Leak practices in Bloomington, IL and has the professional credentials of MD. The NPI Number for Benjamin J Leak is 1043248867 and holds a License No. (Illinois).

The current practice location address for Benjamin J Leak is 1401 Eastland Dr, Bloomington, IL and can be reached out via phone at 309-663-9424 and via fax at 309-663-6350.

Location: 1401 Eastland Dr, Bloomington, IL, 61701-3514
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043248867
Provider Name
Benjamin J Leak
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1401 Eastland Dr, Bloomington, IL, 61701-3514
Phone Number
309-663-9424
Fax Number
309-663-6350
Provider Enumeration Date
06/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5732045 01 IL BC BS PROVIDER NUMBER
0723870001 01 IL DME PROVIDER NUMBER
P00100008 01 IL RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
1401 Eastland Dr
City
Bloomington
State
Illinois
Zip
61701-3514
Phone Number
309-663-9424
Fax Number
309-663-6350
person
Provider Business Mailing Address Details
Address
1401 Eastland Dr
City
Bloomington
State
Illinois
Zip
61701-3514
Phone Number
309-663-9424
Fax Number
309-663-6350
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
(Illinois)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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