Individual
DR. DONNA LESLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
820 S DAMEN AVE # 119, CHICAGO, IL 60612-3728
(312) 569-7563
Mailing address
17835 92ND AVE, TINLEY PARK, IL 60477-5807
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
—
IL
Other
Enumeration date
08/24/2006
Last updated
07/08/2007
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