SearchIllinois106H00000X

Michael De Leon, MA

NPI 1962271403 · on the registry since 2023 · sole proprietor

Practice

Address
211 N Veterans Pkwy Ste 1
Bloomington, IL 61704
Phone
(254) 294-6655
Clinicians at this address
7

Registry record

Primary taxonomy
106H00000X
106H00000X
Also registered as
101YM0800X
106H00000X
Licence states on file
TX, IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-10-17

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