Individual
LEAH MCCLELLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(312) 413-7686
Mailing address
1550 S BLUE ISLAND AVE, #700, CHICAGO, IL 60608-2864
(847) 864-4181
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209009135
IL
Other
Enumeration date
10/31/2011
Last updated
10/31/2011
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