Gaynor, Leslie A

Gaynor, Leslie A is an individual health care provider with primary practice located at 1786 Moon Lake Blvd Suite 104, Hoffman Estates IL 60169-5029. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Gaynor, Leslie A can be contacted via phone (847) 755-8090.

Contact Information

Primary practice address
1786 Moon Lake Blvd Suite 104 Hoffman Estates IL 60169-5029
Phone: (847) 755-8090
Fax: (847) 843-7393
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 180-005622 Illinois
Behavioral Health & Social Service Providers / Professional 101YP2500X 180-005622 Illinois

Profile Details

NPI number 1922296367
LBN Legal business name Gaynor, Leslie A
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2007
Last updated Jun 1st, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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