Most Relevant Information
Provider Data
| NPI Number: | 1003281882 |
| Provider Name: | CECILA CHAN LEONG LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 148.000893 |
Most Important Dates
| Enumeration Date: | 12/05/2015 |
| Last Updated: | 12/05/2015 |
Provider Practice Location
800 E NORTHWEST HWY
SUITE 106B
MOUNT PROSPECT
IL
600563457
Practice Location Phone/Fax
| Phone: | 8478677924 |
| Fax: | 8472994952 |
Provider Mailing Location
139 HAPP RD
NORTHFIELD
IL
600933413
Provider Mailing Phone/Fax
| Phone: | 7732185322 |
| Fax: |