MEDICARE: GLORIA A LEITSCHUH JR. PHD

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	103T00000X	Psychologist	IL
2	103TA0700X	Adult Development & Aging Psychologist	IL
3	103TC0700X	Clinical Psychologist	IL

General Provider Information

NPI Number	:	1861690653
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GLORIA A LEITSCHUH JR. PHD

Provider Business Mailing Address
First Line	:	9462 N C R 2000 E
Second Line	:
City	:	ASHMORE
State	:	IL
Zip	:	61912
Country	:	US
Telephone Number	:	217-345-3206
Fax Number	:

Provider Business Practice Location Address
First Line	:	9462 N C R 2000 E
Second Line	:
City	:	ASHMORE
State	:	IL
Zip	:	61912
Country	:	US
Telephone Number	:	217-345-3206
Fax Number	:

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

Provider Enumeration Date	:	07/03/2007
Last Update Date	:	09/11/2025

Similar Medicare Providers

1982825022 — MRS. CASSIE CAPRICE RENNELS L.P.C.
Practice Location Address:

9310 APRIL LN
ASHMORE, IL
61912-9123

Practice Phone: 217-348-8150
Practice Fax: 217-348-8150

1518170554 — MRS. JULIE DIANE GOUGH D.T.
Practice Location Address:

915 S IOWA ST
ASHMORE, IL
61912-9543

Practice Phone: 217-232-8695
Practice Fax: 217-349-8431

1568629269 — MS. DIANA FAYE STEPHENS MSW, LSW
Practice Location Address:

19892 CAMP SPRING ROAD
ASHMORE, IL
61912-9183

Practice Phone: 217-345-3448
Practice Fax: 217-345-3470

1659784403 — MR. NICHOLAS FRANCIS ALFORD
Practice Location Address:

9657 N COUNTY ROAD 2080E
ASHMORE, IL
61912-9144

Practice Phone: 217-549-3985
Practice Fax:

1942865696 — LINDSAY PAIGE WILSON LCPC
Practice Location Address:

304 8TH ST
CHARLESTON, IL
61920-1504

Practice Phone: 217-345-4642
Practice Fax: 217-210-0227

1184225492 — JESSICA LYNN TAYLOR PHARMD
Practice Location Address:

2250 LINCOLN AVE
CHARLESTON, IL
61920-3028

Practice Phone: 217-345-9458
Practice Fax:

Directions to “ GLORIA A LEITSCHUH JR. PHD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.