Search › Illinois › 225700000X
Jennifer Leake, LMT
NPI 1518658871 · on the registry since 2023 · sole proprietor
Practice
- Address
- 6778 Mill Rd Ste 300
Rockford, IL 61108 - Phone
- (815) 977-4140
- Organisation at this address
- Tina R. Entwistle, D.P.M., P.C.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-05-17
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