Individual provider · Type 1 NPI

Tatiana-Ruth Leibman

Student in an Organized Health Care Education/Training Program · Chicago, IL

NPI number 1376410076 Active

Practice location

111 N Wabash Ave Ste 1400
Chicago, IL 60602-3074

Call (312) 436-1657 Map

Fax (312) 284-4505

Mailing address

4528 N Drake Ave
Chicago, IL 60625-5904

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1376410076

Tatiana-Ruth Leibman's National Provider Identifier is 1376410076, issued on Oct 20, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Chicago, IL. The record was last updated on Oct 20, 2025.