Iverson, Leisel
Iverson, Leisel is an sole proprietor health care provider with primary practice located at 1641 N. Milkwaukee Avenue Adler Park Plaza, Suite 7, Libertyville IL 60048. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Iverson, Leisel can be contacted via phone (847) 362-6919.Contact Information
Primary practice address
1641 N. Milkwaukee Avenue Adler Park Plaza, Suite 7
Libertyville IL 60048
Phone: (847) 362-6919
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 080502241 | |
Behavioral Health & Social Service Providers / Psychologist | 103T00000X |
Profile Details
NPI number | 1295486769 |
---|---|
LBN Legal business name | Iverson, Leisel |
Credentials | Athletic Trainer, Certified (ATC) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 15th, 2022 |
Last updated | Jan 15th, 2022 - 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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