Individual provider · Type 1 NPI

Audrey Leslie

Medical Physician Assistant · Chicago, IL

NPI number 1972885705 Active

Practice location

5841 S Maryland Ave
Chicago, IL 60637-1443

Mailing address

150 Harvester Dr, Suite 300
Burr Ridge, IL 60527-5919

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNULL (IL)

Medical Physician Assistant: Definition to come...

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About NPI 1972885705

Audrey Leslie's National Provider Identifier is 1972885705, issued on Sep 19, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Chicago, IL. The record was last updated on Oct 24, 2022.