IndividualActive
Kendall Leonard
NPI 1245864784 · Contractor · Glenwood, IL
Provider details
- NPI number
- 1245864784
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- V00018705 (IL)
Practice location
524 N Roberts Dr Apt 2b
Glenwood, IL 60425-2300
Phone: (708) 690-4333
Mailing address
3646 147th Pl Apt Gn
Midlothian, IL 60445-3590
Registry dates
- Enumerated
- 2020-02-24
- Last updated
- 2020-02-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.