Provider Demographics
NPI:1225222672
Name:JOEL R LEFF MDSC
Entity Type:Organization
Organization Name:JOEL R LEFF MDSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:R
Authorized Official - Last Name:LEFF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:708-361-5110
Mailing Address - Street 1:7350 W COLLEGE DR
Mailing Address - Street 2:SUITE 106
Mailing Address - City:PALOS HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60463-1149
Mailing Address - Country:US
Mailing Address - Phone:708-361-5110
Mailing Address - Fax:708-361-5305
Practice Address - Street 1:7350 W COLLEGE DR
Practice Address - Street 2:SUITE 106
Practice Address - City:PALOS HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60463-1149
Practice Address - Country:US
Practice Address - Phone:708-361-5110
Practice Address - Fax:708-361-5305
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-29
Last Update Date:2007-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL21609141OtherBLUE CROSS BLUE SHIELD
IL798810Medicare PIN