Individual
JESSICA MARIE LEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3001 GREEN BAY ROAD, BLD 131 ROOM 204, NORTH CHICAGO, IL 60064
(224) 610-1131
Mailing address
950 WHEELER CT, LIBERTYVILLE, IL 60048-1839
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
07/19/2024
Last updated
07/19/2024
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