Individual
LEILA KEENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
663 N SANGAMON ST APT 1S, CHICAGO, IL 60642-6078
(312) 953-6161
(323) 316-2415
Mailing address
663 N SANGAMON ST APT 1S, CHICAGO, IL 60642-6078
(312) 953-6161
(323) 316-2415
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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