Provider Demographics
NPI:1710585724
Name:CROPSEY, LEEANN (MS CCC-A)
Entity Type:Individual
Prefix:
First Name:LEEANN
Middle Name:
Last Name:CROPSEY
Suffix:
Gender:F
Credentials:MS CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9251 PRIMROSE LN
Mailing Address - Street 2:
Mailing Address - City:FOX RIVER GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60021-1313
Mailing Address - Country:US
Mailing Address - Phone:847-431-0840
Mailing Address - Fax:
Practice Address - Street 1:1710 N RANDALL RD STE 210
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60123-7904
Practice Address - Country:US
Practice Address - Phone:847-888-0111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-12
Last Update Date:2020-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI12-156231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist