Individual
DR. CHRISTINE LEAHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
10001 W 143RD ST, ORLAND PARK, IL 60462-2026
(708) 349-2600
(708) 349-9201
Mailing address
10001 W 143RD ST, ORLAND PARK, IL 60462-2026
(708) 349-2600
(708) 349-9201
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046008829
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0363241858
TAX ID OAK LAWN
IL
01
—
0363448367
TAX ID ORLAND PARK
IL
01
—
0410036100
RR MEDICARE IND OAKLAWN
IL
01
—
0618250001
DME OAKLAWM
IL
01
—
1148260001
DME ORLAND PARK
IL
01
—
508980
MEDICARE GRP OAKLAWN
IL
01
—
985800
MEDICARE PROVIDER GRP OP
IL
01
—
CN3870
RR MEDICARE GRP OL
IL
01
—
DA8522
RR MEDICARE GRP OP
IL
01
—
P00074735
RR MEDICARE IND. ORLAND
IL
Enumeration date
05/11/2006
Last updated
10/25/2010
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