person
Kendall Divante Leonard
Contractor in Glenwood, Illinois
NPI 1245864784

Kendall Divante Leonard is a Contractor based in Midlothian, IL. Kendall Divante Leonard practices in Glenwood, IL. The NPI Number for Kendall Divante Leonard is 1245864784 and holds a License No. V00018705 (Illinois).

The current practice location address for Kendall Divante Leonard is 524 N Roberts Dr Apt 2B, Glenwood, IL and can be reached out via phone at 708-690-4333.

Location: 524 N Roberts Dr Apt 2B, Glenwood, IL, 60445-3590
person
Provider Profile Details
NPI Number
1245864784
Provider Name
Kendall Divante Leonard
Credential
Provider Entity Type
Individual
Gender
Male
Address
524 N Roberts Dr Apt 2B, Glenwood, IL, 60445-3590
Phone Number
708-690-4333
Fax Number
Provider Enumeration Date
02/24/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11295611761 05 IL
institution
Provider Business Practice Location Address Details
Address
524 N Roberts Dr Apt 2B
City
State
Zip
60425-2300
Phone Number
708-690-4333
Fax Number
person
Provider Business Mailing Address Details
Address
524 N Roberts Dr Apt 2B
City
State
Zip
60425-2300
Phone Number
708-690-4333
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Contractor
Speciality
-
Taxonomy
License No.
V00018705 (Illinois)
Definition
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
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