KEVIN ALAN LEISEBERG

MARENGO, IL
NPI1093827685
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070-011208)
Enumeration Date2006-08-31
Last Update Date2016-04-21
Business Address
-- KEVIN ALAN LEISEBERG MS, PT
300 S STATE ST
MARENGO, IL 60152-3532
Phone number: 815-568-4550
Mailing Address
-- KEVIN ALAN LEISEBERG MS, PT
625 ENTERPRISE DR
OAK BROOK, IL 60523-8813
Phone number: 630-575-1980
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