NPI 1043248867

Benjamin J Leak, MD

Practitioner Urology Physician Bloomington, IL

Practice location

Address: 1401 Eastland Dr Suite B, Bloomington, IL 61701-3514
Phone: (309) 663-9424
Fax: (309) 663-6350

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X

Other Urology providers in Illinois →

Registry record

NPI: 1043248867
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Jun 2006
Record last updated: 13 Sep 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.