Leischner, Matthew P

Leischner, Matthew P is an individual health care provider with primary practice located at 2160 S First Ave (Luh - North Ent., Rm 2601), Maywood IL 60153. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Leischner, Matthew P can be contacted via phone (708) 216-5118.

Contact Information

Primary practice address
2160 S First Ave (Luh - North Ent., Rm 2601) Maywood IL 60153
Phone: (708) 216-5118
Fax: (708) 216-0814
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 36104232 Illinois
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 036104232 Illinois

Profile Details

NPI number 1548235864
LBN Legal business name Leischner, Matthew P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Jun 28th, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1548235864 NPPES
Illinois MEDICAID 36104232

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