Provider Demographics
NPI:1932235314
Name:LESKA, JOAN H (PSYD)
Entity Type:Individual
Prefix:MS
First Name:JOAN
Middle Name:H
Last Name:LESKA
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 E WACKER DRIVE
Mailing Address - Street 2:SUITE 1350
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60601
Mailing Address - Country:US
Mailing Address - Phone:312-553-9898
Mailing Address - Fax:312-553-4213
Practice Address - Street 1:35 E WACKER DRIVE
Practice Address - Street 2:SUITE 1350
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60601
Practice Address - Country:US
Practice Address - Phone:312-553-9898
Practice Address - Fax:312-553-4213
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical