Provider Demographics
NPI:1245694223
Name:SCHATKE, LEONARD (CADC/MISA I)
Entity type:Individual
Prefix:
First Name:LEONARD
Middle Name:
Last Name:SCHATKE
Suffix:
Gender:M
Credentials:CADC/MISA I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1909 CHEKER SQ
Mailing Address - Street 2:
Mailing Address - City:E HAZEL CREST
Mailing Address - State:IL
Mailing Address - Zip Code:60429-1442
Mailing Address - Country:US
Mailing Address - Phone:708-647-3516
Mailing Address - Fax:708-647-3504
Practice Address - Street 1:1909 CHEKER SQ
Practice Address - Street 2:
Practice Address - City:E HAZEL CREST
Practice Address - State:IL
Practice Address - Zip Code:60429-1442
Practice Address - Country:US
Practice Address - Phone:708-647-3516
Practice Address - Fax:708-647-3504
Is Sole Proprietor?:No
Enumeration Date:2016-04-06
Last Update Date:2016-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)