Healthcare Provider Details

I. General information

NPI: 1407710882
Provider Name (Legal Business Name): VIANNEY LEON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/10/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 W CHESTNUT ST STE 101N
HINSDALE IL
60521-3248
US

IV. Provider business mailing address

4240 N CLARENDON AVE APT 212N
CHICAGO IL
60613-1533
US

V. Phone/Fax

Practice location:
  • Phone: 630-517-3371
  • Fax:
Mailing address:
  • Phone: 773-456-9428
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number150114685
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: