Individual
DR. FRANK LEAVITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
513 ILLINOIS RD, WILMETTE, IL 60091-2340
(847) 251-3169
(847) 251-9240
Mailing address
513 ILLINOIS RD, WILMETTE, IL 60091-2340
(847) 251-3169
(847) 251-9240
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01672655
BLUE CROSS BLUESHIELD
IL
Enumeration date
08/22/2006
Last updated
07/08/2007
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