Individual
LESLIE ANN MEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
800 N WESTMORELAND RD STE 100, LAKE FOREST, IL 60045-1671
(847) 535-8174
(224) 271-4600
Mailing address
800 N WESTMORELAND RD STE 100, LAKE FOREST, IL 60045-1671
(847) 535-8174
(224) 271-4600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085008038
IL
363AS0400X
Surgical Physician Assistant
209007244
IL
363AS0400X
Surgical Physician Assistant
4797-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085008038
STATE LICENSE
IL
Enumeration date
08/05/2019
Last updated
07/17/2024
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