person
Mr. Ronald Jay Leib, DPM
Foot & Ankle Surgery Podiatrist in Crystal Lake, Illinois
NPI 1548315021

Ronald Jay Leib is a Foot & Ankle Surgery Podiatrist based in Crystal Lake, IL and is specialized in Foot & Ankle Surgery. Ronald Jay Leib practices in Crystal Lake, IL and has the professional credentials of DPM. The NPI Number for Ronald Jay Leib is 1548315021 and holds a License No. (Illinois).

The current practice location address for Ronald Jay Leib is 39 S Virginia St, Crystal Lake, IL and can be reached out via phone at 815-477-9221 and via fax at 815-477-8916. You can also correspond with Ronald Jay Leib through the mailing address at 39 S VIRGINIA ST, CRYSTAL LAKE, IL - 60014-5826 (mailing address contact number: 815-477-9221).

Location: 39 S Virginia St, Crystal Lake, IL, 60014-5826
person
Provider Profile Details
NPI Number
1548315021
Provider Name
Ronald Jay Leib
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
39 S Virginia St, Crystal Lake, IL, 60014-5826
Phone Number
815-477-9221
Fax Number
815-477-8916
Provider Enumeration Date
01/24/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5619947 01 IL BC BS OF ILLINOIS
institution
Provider Business Practice Location Address Details
Address
39 S Virginia St
City
State
Zip
60014-5826
Phone Number
815-477-9221
Fax Number
815-477-8916
person
Provider Business Mailing Address Details
Address
39 S Virginia St
City
State
Zip
60014-5826
Phone Number
815-477-9221
Fax Number
815-477-8916
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
(Illinois)
Definition
Definition to come...
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