Provider Demographics
NPI:1275420119
Name:HARRIS-BREEN, LEILA MICHELLE
Entity type:Individual
Prefix:
First Name:LEILA
Middle Name:MICHELLE
Last Name:HARRIS-BREEN
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 1:460 LEXINGTON DR
Mailing Address - Street 2:
Mailing Address - City:ROMEOVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60446-1780
Mailing Address - Country:US
Mailing Address - Phone:708-831-3963
Mailing Address - Fax:
Practice Address - Street 1:460 LEXINGTON DR
Practice Address - Street 2:
Practice Address - City:ROMEOVILLE
Practice Address - State:IL
Practice Address - Zip Code:60446-1780
Practice Address - Country:US
Practice Address - Phone:708-831-3963
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-23
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula