Provider Demographics
NPI:1174921217
Name:LEFLER, TERRI KNUTEL (MS, LCGC)
Entity type:Individual
Prefix:MRS
First Name:TERRI
Middle Name:KNUTEL
Last Name:LEFLER
Suffix:
Gender:F
Credentials:MS, LCGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5234 BROWN ST
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60077-3616
Mailing Address - Country:US
Mailing Address - Phone:847-287-6670
Mailing Address - Fax:
Practice Address - Street 1:120 N. OAK STREET
Practice Address - Street 2:ADVENTIST HINSDALE HOSPITAL
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521
Practice Address - Country:US
Practice Address - Phone:630-856-2211
Practice Address - Fax:630-856-6746
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-05
Last Update Date:2014-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL246.000128170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS