Leakes, Dewayne

Leakes, Dewayne is an sole proprietor health care provider with primary practice located at 735 W 61St St , Chicago IL 60621-2855. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Leakes, Dewayne can be contacted via phone (773) 332-8381.

Contact Information

Primary practice address
735 W 61St St Chicago IL 60621-2855
Phone: (773) 332-8381
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1851960959
LBN Legal business name Leakes, Dewayne
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2021
Last updated Jun 22nd, 2021 - about 4 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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