Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Leslie Joel Illidge

Individual provider Social Worker · NPI 1730763228

Mr. Leslie Joel Illidge is a Social Worker in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2021
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Practice location Address checks out

8530 S Saint Lawrence Ave
Chicago, IL 60619-6025
Phone: (773) 852-0642
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 150007727 (IL)

Record details

NPI number1730763228
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 10, 2021
Last updated in NPPESMay 10, 2021
Certification dateMay 10, 2021

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