Provider Demographics
NPI:1982945903
Name:FLEIG, DENISE (APN)
Entity Type:Individual
Prefix:MS
First Name:DENISE
Middle Name:
Last Name:FLEIG
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1675 DEMPSTER ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:PARK RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60068-1110
Mailing Address - Country:US
Mailing Address - Phone:847-723-5105
Mailing Address - Fax:847-723-9360
Practice Address - Street 1:1675 DEMPSTER ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:PARK RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60068-1110
Practice Address - Country:US
Practice Address - Phone:847-723-5105
Practice Address - Fax:847-723-9360
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-15
Last Update Date:2021-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041.232688163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics