RUSSELL LEANDER NPI 1386063360

NPI Information

NPI: 1386063360
Provider Name: RUSSELL LEANDER
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1631 W CARMEN AVE
CHICAGO, IL
ZIP 60640
Phone: (773) 807-7734
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Russell Leander is a mental health counselor in Chicago, IL. Russell Leander NPI is 1386063360. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1631 W CARMEN AVE
CHICAGO, IL
ZIP 60640-701
Phone: (773) 807-7734

The enumeration date for this NPI number is 4/7/2014 and was last updated on 4/7/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	180.006834	ILLINOIS	No
2	101YM0800X	Counselor	Mental Health	180.006834	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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