Jacqueline Leavitt MD

NPI No. 1144332768 - Internal Medicine

 

Contacts & Locations

Practice Address

  • 1700 W Van Buren St
    Suite 500
    Chicago, Illinois 60612, US
  • Phone: (312) 563-2875
  • Fax: (312) 942-3012

Office Address

  • 1700 W Van Buren St
    Suite 500
    Chicago, Illinois 60612, US
  • Phone: (312) 563-2875
  • Fax: (312) 942-3012

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Jacqueline Leavitt Information

The 1144332768 NPI number belongs to Jacqueline Leavitt MD. Jacqueline Leavitt is an Individual and working at 1700 W Van Buren St, Chicago IL 60612, you can also contact her via phone number (312) 563-2875. Jacqueline Leavitt's specialty is listed as Internal Medicine.

About NPI No.

  • NPI Number: 1144332768 (Individual)
  • Name: Jacqueline Leavitt
  • Credential: M.D.
  • Pecos: 1456485960
  • Enrollment: I20100819000867
  • Individual: Physicians, dentists, nurses, chiropractors, pharmacists, physical therapists, etc.
  • Taxonomy

  • Taxonomy code: 207R00000X
  • Taxonomy specialization: Internal Medicine
  • Primary taxonomy: Yes
  • License

  • License number: 036-096995
  • License state: Illinois State License
  • Enumeration date: August 31, 2006
  • Last Update date: February 12, 2008

Jacqueline Leavitt is not a Sole Proprietor.

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