Dewayne Leakes, is a
Counselor - Mental Health based in Chicago, Illinois. Dewayne Leakes is licensed to practice in * (Not Available) (license number ) and his current practice location is
735 W 61st St, Chicago, Illinois. He can be reached at his office (for appointments etc.) via phone at
(773) 332-8381.
NPI number for Dewayne Leakes is 1851960959 and his current mailing address is 735 W 61st St, Chicago, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1851960959.
Healthcare Provider's Profile
Full Name | Dewayne Leakes |
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Gender | Male |
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Speciality | Counselor - Mental Health |
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Location | 735 W 61st St, Chicago, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1851960959
- Provider Enumeration Date: 06/22/2021
- Last Update Date: 06/22/2021
Medical Identifiers
Medical identifiers for Dewayne Leakes such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1851960959 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dewayne Leakes is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dewayne Leakes, 735 W 61st St, Chicago, IL 60621-2855 Ph: (773) 332-8381 | Dewayne Leakes, 735 W 61st St, Chicago, IL 60621-2855 Ph: (773) 332-8381 |
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