Individual
LEILA J KATABI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9169
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9169
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036.180575
IL
207L00000X
Anesthesiology Physician
Primary
35.153552
OH
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
036.180575
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16552981
CAQH
OH
Enumeration date
06/18/2021
Last updated
06/17/2026
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