Provider Demographics
NPI:1134942261
Name:LEPTANDRUM INC
Entity type:Organization
Organization Name:LEPTANDRUM INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:S
Authorized Official - Last Name:RYAN
Authorized Official - Suffix:
Authorized Official - Credentials:MS LCPC
Authorized Official - Phone:630-290-3013
Mailing Address - Street 1:23819 W MILL ST STE 109
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60544-3488
Mailing Address - Country:US
Mailing Address - Phone:630-290-3013
Mailing Address - Fax:
Practice Address - Street 1:23819 W MILL ST STE 109
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60544-3488
Practice Address - Country:US
Practice Address - Phone:630-290-3013
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-06
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty