Leatherwood, Margo Larissa

Leatherwood, Margo Larissa is an individual health care provider with primary practice located at 9550 W 167Th St Ste 200 , Orland Park IL 60467-5561. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Leatherwood, Margo Larissa can be contacted via phone (708) 873-4500.

Contact Information

Primary practice address
9550 W 167Th St Ste 200 Orland Park IL 60467-5561
Phone: (708) 873-4500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036-166282 Illinois

Profile Details

NPI number 1548898604
LBN Legal business name Leatherwood, Margo Larissa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2020
Last updated Oct 24th, 2023 - about 2 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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