Individual provider · Type 1 NPI

Giovanni Lim Leones, APRN, CNP

Gerontology Nurse Practitioner · Peoria, IL

NPI number 1013870906 Active

Practice location

530 NE Glen Oak Ave
Peoria, IL 61637-0001

Mailing address

2630 W Willowlake Dr Apt 523
Peoria, IL 61614-1148

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner 363LA2100X209.034152 (IL)
Gerontology Nurse Practitioner Primary 363LG0600X209034152 (IL)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1013870906

Giovanni Lim Leones, APRN, CNP's National Provider Identifier is 1013870906, issued on Dec 8, 2025. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Peoria, IL. The record was last updated on Dec 15, 2025.