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Search › Illinois › 208000000X

Leo Jennetten, MD

NPI 1538819024 · on the registry since 2022

Practice

Address
530 Ne Glen Oak Ave
Peoria, IL 61637
Phone
(309) 655-2000
Organisation at this address
University Of Illinois
University Of Illinois
St. Francis Medical Center
Saint Francis Medical Center
Saint Francis Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
1,001

Registry record

Primary taxonomy
208000000X
208000000X
Also registered as
207R00000X
390200000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-09-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois