Individual
DENISE D LESLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6615 GRAND AVE # 1229, GURNEE, IL 60031-4591
(224) 402-3738
Mailing address
5257 HOLLYHOCK CT # A, GURNEE, IL 60031-6368
(224) 402-3738
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209032983
IL
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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