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Benjamin William Leacock
Emergency Medicine Physician in Greenville, Illinois
NPI 1639375140

Benjamin William Leacock is a Emergency Medicine Physician based in Denver, IL. Benjamin William Leacock practices in Greenville, IL. The NPI Number for Benjamin William Leacock is 1639375140 and holds a License No. DR.0056078 (Illinois).

The current practice location address for Benjamin William Leacock is 200 Health Care Dr, Greenville, IL and can be reached out via phone at 618-664-1230.

Location: 200 Health Care Dr, Greenville, IL, 80291-2215
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639375140
Provider Name
Benjamin William Leacock
Credential
Provider Entity Type
Individual
Gender
Male
Address
200 Health Care Dr, Greenville, IL, 80291-2215
Phone Number
618-664-1230
Fax Number
Provider Enumeration Date
06/22/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
200 Health Care Dr
City
Greenville
State
Illinois
Zip
62246-1154
Phone Number
618-664-1230
Fax Number
person
Provider Business Mailing Address Details
Address
200 Health Care Dr
City
Greenville
State
Illinois
Zip
62246-1154
Phone Number
618-664-1230
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
01081797A (Indiana)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
DR.0056078 (Colorado)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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