Erin Amelia Leestma, MD
Psychiatry & Neurology, Psychiatry in Maywood, IL. Individual provider (NPI-1).
NPI number1982307716
StatusActive
Last updated in NPPESJun 27, 2023
Details
- NPI
- 1982307716
- Entity type
- Individual (NPI-1)
- Name
- Erin Amelia Leestma
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 22, 2023
- Certification date
- Jun 27, 2023
- Last updated
- Jun 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 125082747 | IL | Yes |
Practice location
Loyola University Medical CenterBuilding 105, Suite 1940
Maywood, IL 60153
Phone 708-216-6200 · Fax 708-216-6840
Mailing address
107 Melbourne StDetroit, MI 48202-2507
Phone 616-499-5940
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