IndividualActive
Audrey Leslie
NPI 1972885705 · Medical Physician Assistant · Chicago, IL
Provider details
- NPI number
- 1972885705
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- NULL (IL)
Mailing address
150 Harvester Dr
Burr Ridge, IL 60527-5919
Registry dates
- Enumerated
- 2011-09-19
- Last updated
- 2022-10-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.