Individual
HOLLY L. LEISCHNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
155 E BRUSH HILL RD, ELMHURST, IL 60126-5658
(331) 221-1000
Mailing address
386 N LARCH AVE, ELMHURST, IL 60126-2314
(773) 551-3724
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209005879
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
277002883
STATE LICENSE
IL
Enumeration date
04/24/2006
Last updated
09/20/2024
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