Jaclyn Leibforth
Jaclyn Leibforth is a Nurse Practitioner in Chicago, Illinois. Qualified in 2022, 4 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Illinois.
- Years since qualifying
- 4
- Licensed in
- IL
- In the registry since
- 2023
Practice location Address checks out
5841 S Maryland AveChicago, IL 60637-1443
Phone: (888) 824-0200
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 2160 S 1st Ave, Maywood, IL 60153-3328 — (888) 584-7888
Specialties & licences
| Acute Care Nurse Practitioner (primary) | Taxonomy 363LA2100X · Licence 209.028063 (IL) |
|---|
Record details
| NPI number | 1356117253 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | November 30, 2023 |
| Last updated in NPPES | June 8, 2026 |
| Certification date | June 8, 2026 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Accepts Medicare assignment | Not indicated |
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