Search › Illinois › 222Q00000X
Latecia Leavy
NPI 1053751396 · on the registry since 2013
Practice
- Address
- 15725 Kedzie Ave
Markham, IL 60428 - Phone
- (312) 933-4320
- Fax
- (708) 232-2916
Registry record
- Primary taxonomy
- 222Q00000X
222Q00000X
- Also registered as
- 2355S0801X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-08-14
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