Julie M Leidecker Ltd
Physical Therapist in Bourbonnais, IL. Organization (NPI-2).
NPI number1023239142
StatusActive
Last updated in NPPESJun 11, 2008
Details
- NPI
- 1023239142
- Entity type
- Organization (NPI-2)
- Legal business name
- Julie M Leidecker Ltd
- Organization subpart
- No
- Enumeration date
- May 2, 2007
- Last updated
- Jun 11, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
Other names
- A Step Ahead Pediatric Therapy (Doing Business As)
Practice location
586 William R Latham Sr Dr Ste 6bBourbonnais, IL 60914-2338
Phone 815-935-0540
Mailing address
586 William R Latham Sr Dr Ste 6bBourbonnais, IL 60914-2338
Phone 815-935-0540
Authorized official
Cindy Gerard
Office Manger
8159350540
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 48 Physical Therapist providers in Bourbonnais · All 800 providers in Bourbonnais
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