JACLYN LEIBFORTH

CHICAGO, IL
NPI1356117253
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: IL  209.028063)
Enumeration Date2023-11-30
Last Update Date2026-06-08
Business Address
JACLYN LEIBFORTH
5841 S MARYLAND AVE
CHICAGO, IL 60637-1443
Phone number: 888-824-0200
Mailing Address
JACLYN LEIBFORTH
1242 W HURON ST APT 1
CHICAGO, IL 60642-0036
Phone number: