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Contact Information

NIRVANA L LEIX, DDS
8505 REDTAIL DRIVE
SUITE J
VILLAGE OF LAKEWOOD, IL60014
 Phone: 815-455-8186
 Fax: 815-455-8188
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for NIRVANA L LEIX · (Female)

NPI Number 1043382633
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 11/15/2006
Last updated 05/13/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 19026139
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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