NPI 1346088614
Jessica Marie Leider
Practice location
- Address
- 3001 Green Bay Road Bld 131 Room 204, North Chicago, IL 60064
- Phone
- (224) 610-1131
- Mailing address
- 950 Wheeler CT, Libertyville, IL 60048-1839
Registered specialties
Recreation Therapist
Primary
Registry record
- NPI
- 1346088614
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 19 Jul 2024
- Record last updated
- 19 Jul 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.