Mcilvried, Leslie S

Mcilvried, Leslie S is an individual health care provider with primary practice located at 1755 Park St Suite #300, Naperville IL 60563-4861. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Mcilvried, Leslie S can be contacted via phone (630) 416-6056.

Contact Information

Primary practice address
1755 Park St Suite #300 Naperville IL 60563-4861
Phone: (630) 416-6056
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 242197 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 242197 Massachusetts

Profile Details

NPI number 1225098445
LBN Legal business name Mcilvried, Leslie S
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Sep 14th, 2016 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1225098445 NPPES
Massachusetts MEDICAID 0367630
Massachusetts Other C434
Massachusetts Other NP3266

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