Provider Demographics
NPI:1881472355
Name:LESHCHUK, OKSANA
Entity type:Individual
Prefix:
First Name:OKSANA
Middle Name:
Last Name:LESHCHUK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1609 LONGMEADOW DR
Mailing Address - Street 2:
Mailing Address - City:GLENVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60026-1546
Mailing Address - Country:US
Mailing Address - Phone:773-988-2782
Mailing Address - Fax:
Practice Address - Street 1:1247 WAUKEGAN RD STE 103
Practice Address - Street 2:
Practice Address - City:GLENVIEW
Practice Address - State:IL
Practice Address - Zip Code:60025-3057
Practice Address - Country:US
Practice Address - Phone:847-361-0041
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-18
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional