Individual
LEA KIRBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
137 W 111TH ST, CHICAGO, IL 60628-4214
(773) 614-0037
Mailing address
137 W 111TH ST, CHICAGO, IL 60628-4214
(773) 614-0037
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/20/2025
Last updated
11/20/2025
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