LESLIE MCILVRIED APRN BC LLC NPI 1932636339

NPI Information

NPI: 1932636339
Provider Name: LESLIE MCILVRIED APRN BC LLC

Doing Business As: LESLIE MCILVRIED APRN BC LLC

Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
1755 PARK ST
NAPERVILLE, IL
ZIP 60563
Phone: (630) 983-8920
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LESLIE MCILVRIED APRN BC LLC is a psychiatric/mental health nurse practitioner in Naperville, IL. LESLIE MCILVRIED APRN BC LLC NPI is 1932636339. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Leslie Mcilvried Aprn Bc Llc.

The provider's business location address is:

1755 PARK ST
NAPERVILLE, IL
ZIP 60563-861
Phone: (630) 983-8920
Fax: (630) 983-4839

The provider's authorized official is Leslie Mcilvried .
The authorized official title is Nurse Practitioner and has the following contact phone number (630) 983-8920.

The enumeration date for this NPI number is 5/16/2017 and was last updated on 6/16/2018.

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	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	041410686	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1225098445	OTHER		NPI TYPE 1

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: 11/14/2023

NPI Synchronization or Removal

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