Provider Demographics
NPI:1033215728
Name:SONDEEN OPILA, LESLIE ANN (RN/APN/NP)
Entity Type:Individual
Prefix:MRS
First Name:LESLIE
Middle Name:ANN
Last Name:SONDEEN OPILA
Suffix:
Gender:F
Credentials:RN/APN/NP
Other - Prefix:MISS
Other - First Name:LESLIE
Other - Middle Name:ANN
Other - Last Name:SONDEEN OPILA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN/APN/NP
Mailing Address - Street 1:6613 FAIRMOUNT AVE
Mailing Address - Street 2:
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60516-2912
Mailing Address - Country:US
Mailing Address - Phone:630-492-1232
Mailing Address - Fax:
Practice Address - Street 1:2300 N CHILDRENS PLZ
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60614-3363
Practice Address - Country:US
Practice Address - Phone:773-880-4929
Practice Address - Fax:773-880-3374
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2011-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL41-299428163WP0200X
IL209-002338363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163WP0200XNursing Service ProvidersRegistered NursePediatrics