Individual
LAUREN M LEIGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
675 N SAINT CLAIR ST STE 18-250, CHICAGO, IL 60611-5980
(312) 695-8624
Mailing address
490 OLIVE ST, ELMHURST, IL 60126
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.004630
IL
Other
Enumeration date
06/25/2013
Last updated
08/22/2017
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