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LESLIE ILLIDGE
Social Worker
NPI: 1730763228Individual
Specialties, Licenses & Credentials
Social WorkerPrimary
Social Worker
Code: 104100000X
150007727(IL)
Contact & Hours
- Address
- 8530 S SAINT LAWRENCE AVE
CHICAGO, IL 60619 - Phone
- (773) 852-0642
Quick Facts
- NPI
- 1730763228
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
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