Alexander Legenbauer, DO | |
100 Dr Warren Tuttle Dr, Harrisburg, IL 62946-2718 | |
(618) 252-0999 | |
(618) 252-2032 |
Full Name | Alexander Legenbauer |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 100 Dr Warren Tuttle Dr, Harrisburg, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841827847 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | UO7009 (Florida) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 036170886 (Illinois) | Primary |
Mailing Address | Practice Location Address |
---|---|
Alexander Legenbauer, DO Po Box 3988, Carbondale, IL 62902-3988 Ph: (618) 457-5200 | Alexander Legenbauer, DO 100 Dr Warren Tuttle Dr, Harrisburg, IL 62946-2718 Ph: (618) 252-0999 |
Jocelyn C Enciso, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 100 Dr Warren Tuttle Dr, Harrisburg, IL 62946 Phone: 618-252-0999 Fax: 618-252-2032 |