Individual
LESLIE CAROLINE BARNES INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1441 BRANDING AVE STE 310, DOWNERS GROVE, IL 60515-5624
(262) 693-4312
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
16636
WI
363L00000X
Nurse Practitioner
209-031194
IL
363L00000X
Nurse Practitioner
Primary
5006777
NC
363LP0200X
Pediatric Nurse Practitioner
5006777
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100317117
—
WI
Enumeration date
02/28/2014
Last updated
09/04/2025
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