| Joel S. Leifheit M.d., P.c. | |
|
920 West St Suite 111 Peru IL 61354-2763 | |
| (815) 223-4273 | |
| (815) 223-4328 |
| Full Name | Joel S. Leifheit M.d., P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 920 West St, Peru, Illinois |
| Authorized Official Name and Position | Joel S Leifheit (PRESIDENT) |
| Authorized Official Contact | 8152234273 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joel S. Leifheit M.d., P.c. 920 West St Suite 111 Peru IL 61354-2763 Ph: (815) 223-4273 | Joel S. Leifheit M.d., P.c. 920 West St Suite 111 Peru IL 61354-2763 Ph: (815) 223-4273 |
| NPI Number | 1841312980 |
|---|---|
| Provider Enumeration Date | 04/06/2007 |
| Last Update Date | 01/07/2008 |
| Medicare PECOS PAC ID | 0446356182 |
|---|---|
| Medicare Enrollment ID | O20070426000298 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841312980 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Illinois) | Primary |
| 208000000X | Pediatrics | (Illinois) | Secondary |
| Provider Name | Joel S Leifheit |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871696229 PECOS PAC ID: 8820048614 Enrollment ID: I20070426000289 |
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