Provider Demographics
NPI:1972950442
Name:LEEDS, NORMAN HOWARD (PHARM D)
Entity type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:HOWARD
Last Name:LEEDS
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 GRENADIER CT
Mailing Address - Street 2:
Mailing Address - City:LINCOLNSHIRE
Mailing Address - State:IL
Mailing Address - Zip Code:60069-3343
Mailing Address - Country:US
Mailing Address - Phone:773-960-8790
Mailing Address - Fax:773-409-7655
Practice Address - Street 1:5 GRENADIER CT
Practice Address - Street 2:
Practice Address - City:LINCOLNSHIRE
Practice Address - State:IL
Practice Address - Zip Code:60069-3343
Practice Address - Country:US
Practice Address - Phone:773-960-8790
Practice Address - Fax:773-409-7655
Is Sole Proprietor?:No
Enumeration Date:2016-05-15
Last Update Date:2016-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0510283561835P1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1300XPharmacy Service ProvidersPharmacistPsychiatric