Provider Demographics
NPI:1104240910
Name:ROHRSEN, LEIGHANN M (MS, CGC)
Entity type:Individual
Prefix:
First Name:LEIGHANN
Middle Name:M
Last Name:ROHRSEN
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2910 MACARTHUR BLVD
Mailing Address - Street 2:
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-2005
Mailing Address - Country:US
Mailing Address - Phone:773-472-4900
Mailing Address - Fax:773-871-5221
Practice Address - Street 1:2910 MACARTHUR BLVD
Practice Address - Street 2:
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-2005
Practice Address - Country:US
Practice Address - Phone:773-472-4900
Practice Address - Fax:773-871-5221
Is Sole Proprietor?:No
Enumeration Date:2014-02-13
Last Update Date:2014-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL246000173170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS