Douglas M Leone (NPI# 1255523296, PAC ID# 4284821828) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1255523296 |
| PAC ID by PECOS | 4284821828 |
| Professional Enrollment ID | I20130618000631 |
| Full Name | Douglas M Leone |
| Organization Legal Name | DERMATOLOGY AND MOHS SURGERY INSTITUTE LTD |
| Address |
925 W St Suite 212 Peru IL 61354-2769 |
| Phone Number | 8158424000 |
| Gender | M |
| Graduation Year | 2006 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 3870732191 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140234 | ILLINOIS VALLEY COMMUNITY HOSPITAL |
| 140189 | SARAH BUSH LINCOLN HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3024 E Empire St 2nd Floor E and F, Bloomington, IL 61704-5402 | 3094513376 | DERMATOLOGY AND MOHS SURGERY INSTITUTE LTD |
| 925 W St, Suite 212, Peru, IL 61354-2769 | 8158424000 | DERMATOLOGY AND MOHS SURGERY INSTITUTE LTD |
| Organization Legal Name | DERMATOLOGY AND MOHS SURGERY INSTITUTE LTD |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher S Lillie | Physician Assistant | Dermatology and Mohs Surgery Institute Ltd | 3024 E Empire St 2nd Floor E and F, Bloomington, IL 61704-5402 |
| Rajagopala Swaminathan | Dermatology | Dermatology and Mohs Surgery Institute Ltd | 812 W Trailcreek Dr, Peoria, IL 61614-1862 |
| Kent S Taulbee | Dermatology | Dermatology and Mohs Surgery Institute Ltd | 3024 E Empire St 2nd Floor E and F, Bloomington, IL 61704-5402 |
| Jeffrey K Mckenna | Dermatology | Dermatology and Mohs Surgery Institute Ltd | 3024 E Empire St 2nd Floor E and F, Bloomington, IL 61704-5402 |
| Jennifer Lynn Stern | Nurse Practitioner | Dermatology and Mohs Surgery Institute Ltd | 3024 E Empire St 2nd Floor E and F, Bloomington, IL 61704-5402 |
| Adrienne M Schupbach | Dermatology | Dermatology and Mohs Surgery Institute Ltd | 925 W St, Suite 212, Peru, IL 61354-2769 |
| Wynn Kao | Dermatology | Dermatology and Mohs Surgery Institute Ltd | 3024 E Empire St 2nd Floor E and F, Bloomington, IL 61704-5402 |
| Stephanie A Pasley | Nurse Practitioner | Dermatology and Mohs Surgery Institute Ltd | 3024 E Empire St 2nd Floor E and F, Bloomington, IL 61704-5402 |
| Street Address |
925 W ST SUITE 212 |
| City | PERU |
| State | IL |
| Zip | 61354-2769 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ilan D Bornstein | Obstetrics/gynecology | Illinois Valley Community Hospital | 925 W St, Peru, IL 61354-2757 |
| Daniel E Obrien | Emergency Medicine | Illinois Valley Community Hospital | 925 W St, Peru, IL 61354-2757 |
| Saamer M Siddiqi | Hospitalist | Illinois Valley Community Hospital | 925 W St, Peru, IL 61354-2757 |
| Maher N Younes | Otolaryngology | Illinois Valley Community Hospital | 925 W St, Peru, IL 61354-2757 |
| Colette A Lehn | Certified Registered Nurse Anesthetist (crna) | Illinois Valley Community Hospital | 925 W St, Peru, IL 61354-2757 |
| Mario E Cote | Internal Medicine | Illinois Valley Community Hospital | 925 W St, Peru, IL 61354-2757 |
| Elie Chukri Daniel | Podiatry | 925 W St, Suite 212, Peru, IL 61354-2757 | |
| Robert J Mitchell | Orthopedic Surgery | Illinois Valley Community Hospital | 925 W St, Peru, IL 61354-2757 |
| Catherine R Renk | Physician Assistant | Illinois Valley Community Hospital | 925 W St, Peru, IL 61354-2757 |
| Sabir M Rahmanny | Emergency Medicine | Illinois Valley Community Hospital | 925 W St, Peru, IL 61354-2757 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dotun I Oyedijo | Radiation Oncology | 4391 Venture Dr, Peru, IL 61354-1018 | |
| Joseph B Jackson | Optometry | Jak Enterprises Inc | 3323 Frontage Rd, Peru, IL 61354-1101 |
| David J Coynik | Dermatology | David J Coynik, Md,pc | 4413 Progress Blvd, Peru, IL 61354-1109 |
| Dale R Chilson | Otolaryngology | St. Margarets Hospital | 4040 Progress Blvd, Peru, IL 61354-1124 |
| Katrina Mcquilkin | Chiropractic | 3815 Progress Blvd, Suite C, Peru, IL 61354-1188 | |
| Bulent Mamikoglu | Otolaryngology | 4231 Progress Blvd, Suite 2, Peru, IL 61354-1193 | |
| Rakesh K Garg | Neurology | 4231 Progress Blvd, Peru, IL 61354-1193 | |
| Angela Benavides | Neurology | St. Margarets Hospital | 1400 Midtown Plaza, Peru, IL 61354-1269 |
| Lacey M Strack | Physician Assistant | St. Margarets Hospital | 1650 Midtown Rd, Peru, IL 61354-1274 |
| Rachel L Colby | Physician Assistant | St. Margarets Hospital | 1650 Midtown Rd, Peru, IL 61354-1274 |
| Find all physicians in zip 61354 | |||
| City | PERU |
| Zip Code | 61354 |
| Specialty | DERMATOLOGY |
| City + Specialty | PERU + DERMATOLOGY |
Please comment or provide details below to improve the information on Douglas M Leone.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.