Durst, Leah M.

Durst, Leah M. is an individual health care provider with primary practice located at 9977 Woods Dr Fl 1 , Skokie IL 60077-1057. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Durst, Leah M. can be contacted via phone (224) 364-2273.

Contact Information

Primary practice address
9977 Woods Dr Fl 1 Skokie IL 60077-1057
Fax: (247) 663-8290
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036096581 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036096581 Illinois

Profile Details

NPI number 1356355465
LBN Legal business name Durst, Leah M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Apr 2nd, 2021 - about 3 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 1356355465 NPPES
Illinois MEDICAID 036096581

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