JACLYN LEIBFORTH

MAYWOOD, IL
NPI1356117253
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: IL  209.028063)
Enumeration Date2023-11-30
Last Update Date2023-11-30
Business Address
JACLYN LEIBFORTH
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number: 888-584-7888
Mailing Address
JACLYN LEIBFORTH
1242 W HURON ST APT 1
CHICAGO, IL 60642-0036
Phone number:
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