Individual
DR. MARCIA ELISE LEIKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
378 PARK AVE, GLENCOE, IL 60022-1586
(847) 604-3930
(847) 242-0795
Mailing address
1125 ELMRIDGE DR, GLENCOE, IL 60022-1130
(847) 835-3402
(847) 242-0795
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
036-095280
IL
2084P0804X
Child & Adolescent Psychiatry Physician
036095280
IL
Other
Enumeration date
06/18/2007
Last updated
09/22/2020
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