Leibold, Samantha Ann

Leibold, Samantha Ann is an individual health care provider with primary practice located at 5201 Walnut Avenue Ste 4, Downers Grove IL 60515-4025. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Leibold, Samantha Ann can be contacted via phone (630) 964-4707.

Contact Information

Primary practice address
5201 Walnut Avenue Ste 4 Downers Grove IL 60515-4025
Phone: (630) 964-4707
Fax: (630) 964-4797
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X Illinois

Profile Details

NPI number 1437203692
LBN Legal business name Leibold, Samantha Ann
Credentials MOT OTRL
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated Jul 8th, 2007 - about 18 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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