Individual
CLARISSA LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18410 GOVERNORS HWY, HOMEWOOD, IL 60430-2911
(219) 513-8311
Mailing address
2201 W 110TH PL, CHICAGO, IL 60643-3919
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242008597
IL
Other
Enumeration date
08/13/2025
Last updated
08/18/2025
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