1. Home
  2. Directory
  3. Illinois
  4. Chicago
  5. Social Worker
  6. NPI Profile

MR. LESLIE JOEL ILLIDGE
NPI 1730763228
Social Worker in Chicago, IL

Active since May 10, 2021
8530 S SAINT LAWRENCE AVE, CHICAGO, IL 60619(773) 852-0642 Get Directions Write a Review

NPPES record last updated: May 10, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Leslie Joel Illidge NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. LESLIE JOEL ILLIDGE (NPI 1730763228) is an individual social worker in Chicago, Illinois, licensed in Illinois (150007727) and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1730763228
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameMR. LESLIE JOEL ILLIDGE
Location Address8530 S SAINT LAWRENCE AVEChicago, IL 60619-6025
Mailing Address8530 S Saint Lawrence AveChicago, IL 60619-6025 · (773) 852-0642
Phone(773) 852-0642
Sole ProprietorYes
Enumeration DateMay 10, 2021
NPPES CertifiedMay 10, 2021
✔ NPI 1730763228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in IL · 150007727
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
8530 S SAINT LAWRENCE AVE, Chicago, IL 60619
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leslie Illidge's NPI number?

The NPI number for Leslie Illidge is 1730763228. It was assigned to this individual provider in the NPPES registry on May 10, 2021.

Where is Leslie Illidge located?

Leslie Illidge practices at 8530 S Saint Lawrence Ave, Chicago, IL 60619. The listed phone number is (773) 852-0642.

What is Leslie Illidge's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Leslie Illidge was last updated on May 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.