| Doctor Name: | DR. JOHN ELIOT LEFFEL |
| NPI Number: | 1205146958 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSY.D., L.C.P. |
| License Number: | 178.004610 |
| Business Practice Address: | 201 E. Park St., Unit B Mundelein, IL - 600601973 |
| Business Phone Number: | 9174034631 |
| Business Fax Number: | |
| Mailing Address: | 201 E. Park St., Unit B, MUNDELEIN |
| State: | IL |
| Postal Code: | 600601973 |
| Phone Number: | 9174034631 |
| Fax Number: | |
| NPI Enumeration Date: | 10/15/2010 |
| NPI Last Update Date: | 08/24/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 178.004610 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |