IndividualActive
Latecia Leavy
NPI 1053751396 · Developmental Therapist · Markham, IL
Provider details
- NPI number
- 1053751396
- Entity type
- Individual
- Primary specialty
- Developmental TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 217000244 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Speech, Language and Hearing Service Providers
Practice location
15725 Kedzie Ave
Markham, IL 60428-3900
Phone: (312) 933-4320
Fax: (708) 232-2916
Approximate (ZIP-level) locationGet directions
Mailing address
15725 Kedzie Ave
Markham, IL 60428-3900
Registry dates
- Enumerated
- 2013-07-01
- Last updated
- 2024-08-14
- Certified
- 2024-08-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.