Mcclellan, Leslie C
Mcclellan, Leslie C is an sole proprietor health care provider with primary practice located at 250 Center Dr Ste 201, Vernon Hills IL 60061-1582. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Mcclellan, Leslie C can be contacted via phone (847) 549-6100.Contact Information
Primary practice address
250 Center Dr Ste 201
Vernon Hills IL 60061-1582
Phone: (847) 549-6100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 036-084851 | Illinois |
Profile Details
| NPI number | 1255408878 |
|---|---|
| LBN Legal business name | Mcclellan, Leslie C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 29th, 2006 |
| Last updated | Jan 31st, 2013 - about 11 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 | 1255408878 | NPPES |
| Illinois | MEDICAID | 036084851 1 |
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