Provider Demographics
NPI:1386789220
Name:BARRETT LEIFHEIT, JULI RENEE (DC)
Entity type:Individual
Prefix:DR
First Name:JULI
Middle Name:RENEE
Last Name:BARRETT LEIFHEIT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:726 N 43RD RD
Mailing Address - Street 2:
Mailing Address - City:MENDOTA
Mailing Address - State:IL
Mailing Address - Zip Code:61342
Mailing Address - Country:US
Mailing Address - Phone:815-343-4730
Mailing Address - Fax:815-538-6200
Practice Address - Street 1:901 MAIN ST
Practice Address - Street 2:STE A
Practice Address - City:MENDOTA
Practice Address - State:IL
Practice Address - Zip Code:61342
Practice Address - Country:US
Practice Address - Phone:815-538-7300
Practice Address - Fax:815-538-6200
Is Sole Proprietor?:No
Enumeration Date:2007-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor