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Leslie Illidge
NPI 1730763228 · on the registry since 2021 · sole proprietor
Practice
- Address
- 8530 S Saint Lawrence Ave
Chicago, IL 60619 - Phone
- (773) 852-0642
Registry record
- Primary taxonomy
- Social Worker
104100000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-05-10
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