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Individual

MRS. CYNTHIA H. LEAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN

Contact information

Practice address
660 N WESTMORELAND RD, LAKE FOREST HOSPITAL EMERGENCY DEPARTMENT, LAKE FOREST, IL 60045-1659
(312) 259-9943
Mailing address
660 N WESTMORELAND RD, EMERGENCY DEPARTMENT, LAKE FOREST, IL 60045-1659
(847) 243-5600

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.008793
IL
363LF0000X
Family Nurse Practitioner
NPF13702
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00137020
CA
05
00137020
IL
Enumeration date
06/14/2006
Last updated
08/18/2013
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