Mcclellan, Leslie C

Mcclellan, Leslie C is an sole proprietor health care provider with primary practice located at 250 Center Dr Ste 201, Vernon Hills IL 60061-1582. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Mcclellan, Leslie C can be contacted via phone (847) 549-6100.

Contact Information

Primary practice address
250 Center Dr Ste 201 Vernon Hills IL 60061-1582
Phone: (847) 549-6100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 036-084851 Illinois

Profile Details

NPI number 1255408878
LBN Legal business name Mcclellan, Leslie C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2006
Last updated Jan 31st, 2013 - about 13 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 1255408878 NPPES
Illinois MEDICAID 036084851 1

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