Stephens, Leia

Stephens, Leia is an individual health care provider with primary practice located at 3021 Falling Waters Blvd Ste B, Lindenhurst IL 60046-6745. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Stephens, Leia can be contacted via phone (847) 356-2895.

Contact Information

Primary practice address
3021 Falling Waters Blvd Ste B Lindenhurst IL 60046-6745
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 227011885 Illinois

Profile Details

NPI number 1538431606
LBN Legal business name Stephens, Leia
Credentials LMT
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2012
Last updated Feb 3rd, 2012 - about 14 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 1538431606 NPPES
Illinois Other 227011885 STATE OF ILLINOIS

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