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Jaclyn Leibforth
Acute Care Nurse Practitioner in Maywood, Illinois
NPI 1356117253

Jaclyn Leibforth is an Acute Care Nurse Practitioner based in Chicago, IL and is specialized in Acute Care. Jaclyn Leibforth practices in Maywood, IL. The NPI Number for Jaclyn Leibforth is 1356117253 and holds a License No. 209.028063 (Illinois).

The current practice location address for Jaclyn Leibforth is 2160 S 1St Ave, Maywood, IL and can be reached out via phone at 888-584-7888.

Location: 2160 S 1St Ave, Maywood, IL, 60642-0036
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356117253
Provider Name
Jaclyn Leibforth
Credential
Provider Entity Type
Individual
Gender
Female
Address
2160 S 1St Ave, Maywood, IL, 60642-0036
Phone Number
888-584-7888
Fax Number
Provider Enumeration Date
11/30/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2160 S 1St Ave
City
Maywood
State
Illinois
Zip
60153-3328
Phone Number
888-584-7888
Fax Number
person
Provider Business Mailing Address Details
Address
2160 S 1St Ave
City
Maywood
State
Illinois
Zip
60153-3328
Phone Number
888-584-7888
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
363LA2100X
License No.
209.028063 (Illinois)
Definition
Definition to come...
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