Provider Demographics
NPI:1386980720
Name:LEEN, SHEILA (APN-BC)
Entity type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:
Last Name:LEEN
Suffix:
Gender:F
Credentials:APN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3811 N PAGE AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60634-2035
Mailing Address - Country:US
Mailing Address - Phone:773-343-0910
Mailing Address - Fax:
Practice Address - Street 1:4330 N. TRANSWORLD ROAD
Practice Address - Street 2:FLYING FOOD SERVAIR HEALTH CLINIC
Practice Address - City:SCHILLER PARK
Practice Address - State:IL
Practice Address - Zip Code:60176
Practice Address - Country:US
Practice Address - Phone:847-678-6738
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-12
Last Update Date:2025-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2090095472083P0901X
IL209.009547363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine