Individual
STEPHANIE ROSE LEAHY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1100 W DUNDEE RD, BUFFALO GROVE, IL 60089-4054
(847) 718-4357
Mailing address
203 S RIDGE AVE, ARLINGTON HTS, IL 60005-1711
(847) 577-9766
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Enumeration date
03/23/2006
Last updated
07/08/2007
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