Leitschuh, Angelina M

Leitschuh, Angelina M is an individual health care provider with primary practice located at 1853 Vaughn Rd , Wood River IL 62095-1861. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Leitschuh, Angelina M can be contacted via phone (618) 467-1580.

Contact Information

Primary practice address
1853 Vaughn Rd Wood River IL 62095-1861
Phone: (618) 467-1580
Fax: (618) 467-1581
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209017871 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209017871 Illinois

Profile Details

NPI number 1508343161
LBN Legal business name Leitschuh, Angelina M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2018
Last updated Jul 23rd, 2026 - about 4 months 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 1508343161 NPPES
Illinois Other 209017871 IL STATE LICENSE

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