MEDICARE: LEIGHA PANIAGUA FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	209.032880	IL
2	207Q00000X	Family Medicine Physician	209.032880	IL

General Provider Information

NPI Number	:	1154207793
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEIGHA PANIAGUA FNP-C

Provider Business Mailing Address
First Line	:	301 EVERINGTON CT
Second Line	:
City	:	BOLINGBROOK
State	:	IL
Zip	:	60440-1041
Country	:	US
Telephone Number	:	616-821-2903
Fax Number	:

Provider Business Practice Location Address
First Line	:	256 S ROUTE 59 STE 128
Second Line	:
City	:	NAPERVILLE
State	:	IL
Zip	:	60540-9108
Country	:	US
Telephone Number	:	332-824-0630
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2025
Last Update Date	:	02/20/2026

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Directions to “ LEIGHA PANIAGUA FNP-C” Practice Location

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