Leischner, Matthew P
Leischner, Matthew P is an individual health care provider with primary practice located at 2160 S First Ave (Luh - North Ent., Rm 2601), Maywood IL 60153. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Leischner, Matthew P can be contacted via phone (708) 216-5118.Contact Information
Primary practice address
2160 S First Ave (Luh - North Ent., Rm 2601)
Maywood IL 60153
Phone: (708) 216-5118
Fax: (708) 216-0814
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 36104232 | Illinois |
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 036104232 | Illinois |
Profile Details
NPI number | 1548235864 |
---|---|
LBN Legal business name | Leischner, Matthew P |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 21st, 2006 |
Last updated | Jun 28th, 2021 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1548235864 | NPPES |
Illinois | MEDICAID | 36104232 |
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