Individual
BRENDA LEISINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
25445 S PHEASANT LN, UNIT H, CHANNAHON, IL 60410-8838
(815) 521-0111
(815) 521-0222
Mailing address
205 W WACKER DR, SUITE 1020, CHICAGO, IL 60606-1216
(312) 640-0329
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-002625
IL
Other
Enumeration date
12/29/2006
Last updated
08/14/2013
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