Individual
JULIE A LEISCHNER
Active
Individual
JULIE A LEISCHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
336066264
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000509791
ANTHEM - NICC
—
01
—
084920
SIHO - NICC
—
Enumeration date
10/23/2006
Last updated
04/29/2024
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