Russell Leander, LCPC
Russell Leander, LCPC is a Preferred Provider Organization in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2014.
- Licensed in
- IL
- In the registry since
- 2014
Practice location Address checks out
1631 W Carmen AveChicago, IL 60640-2701
Phone: (773) 807-7734
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Preferred Provider Organization (primary) | Taxonomy 305R00000X · Licence 180-006834 (IL) |
|---|
Record details
| NPI number | 1053731760 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Russell Leander — Owner · (773) 807-7734 |
| NPI enumerated | April 21, 2014 |
| Last updated in NPPES | April 21, 2014 |
| Mailing address | 5115 N Ravenswood Ave, Chicago, IL 60640-2712 |
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