Individual provider · Type 1 NPI

Jaclyn Leibforth

Acute Care Nurse Practitioner · Chicago, IL

NPI number 1356117253 Active

Practice location

5841 S Maryland Ave
Chicago, IL 60637-1443

Call (888) 824-0200 Map

Mailing address

1242 W Huron St Apt 1
Chicago, IL 60642-0036

Other practice locations

  • 2160 S 1st Ave, Maywood, IL 60153-3328 · (888) 584-7888

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X209.028063 (IL)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1356117253

Jaclyn Leibforth's National Provider Identifier is 1356117253, issued on Nov 30, 2023. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Chicago, IL. The record was last updated on Jun 8, 2026.