Search › Illinois › 225200000X
Leslie Ivy
NPI 1558707000 · on the registry since 2013 · sole proprietor
Practice
- Address
- 12215 South Lasalle St.
Chicago, IL 60628 - Phone
- (773) 443-2770
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-05-10
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