Individual
ERIN LEAF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
430 PENNSYLVANIA AVE, GLEN ELLYN, IL 60137-4464
(630) 545-7660
(630) 545-7531
Mailing address
POB 7132960, CHICAGO, IL 60677-0001
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085010836
IL
Other
Enumeration date
09/30/2024
Last updated
11/04/2024
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