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:
Health care specialties
Specialty | Code | License # | 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 last year |
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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