Search › Illinois › 1744P3200X
Patricia Leddy
NPI 1225254162 · on the registry since 2007 · sole proprietor
Practice
- Address
- 4714 147th St
Midlothian, IL 60445 - Phone
- (708) 385-5736
- Fax
- (708) 385-5754
- Organisation at this address
- Antoinette'S Wigs & Daisy Boutique Mastectomy Appearl
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1744P3200X
1744P3200X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-08-14
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