| Leo G. Pepa, M.d.,ltd. | |
|
2425 Rpyal Blvd Suite 200 Elgin IL 60123-2507 | |
| (847) 428-0400 | |
| (847) 428-0534 |
| Full Name | Leo G. Pepa, M.d.,ltd. |
|---|---|
| Speciality | Family Medicine |
| Location | 2425 Rpyal Blvd, Elgin, Illinois |
| Authorized Official Name and Position | Bernice K. Drevs (MGR) |
| Authorized Official Contact | 8474280400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leo G. Pepa, M.d.,ltd. 2425 Royal Blvd Elgin IL 60123-2507 Ph: (847) 428-0400 | Leo G. Pepa, M.d.,ltd. 2425 Rpyal Blvd Suite 200 Elgin IL 60123-2507 Ph: (847) 428-0400 |
| NPI Number | 1255484028 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 01/30/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255484028 | NPI | - | NPPES |
| 036044641 | Medicaid | IL | |
| 1669551685 | Other | IL | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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