RONALD JAY LEIB

CRYSTAL LAKE, IL
NPI1548315021
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: IL  016004174)
Enumeration Date2007-01-24
Last Update Date2007-07-09
Business Address
Mr. RONALD JAY LEIB DPM
39 S VIRGINIA ST
CRYSTAL LAKE, IL 60014-5826
Phone number: 815-477-9221
Mailing Address
Mr. RONALD JAY LEIB DPM
39 S VIRGINIA ST
CRYSTAL LAKE, IL 60014-5826
Phone number: 815-477-9221