Individual
DANIELLE MARIE LEACHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4709 GOLF RD STE 300, SKOKIE, IL 60076-1233
(847) 869-7233
(847) 869-9461
Mailing address
4709 GOLF RD STE 300, SKOKIE, IL 60076-1233
(847) 869-7233
(847) 869-9461
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085.008450
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/11/2020
Last updated
03/15/2024
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