Provider Demographics
NPI:1154207793
Name:PANIAGUA, LEIGHA (FNP-C)
Entity type:Individual
Prefix:
First Name:LEIGHA
Middle Name:
Last Name:PANIAGUA
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 EVERINGTON CT
Mailing Address - Street 2:
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60440-1041
Mailing Address - Country:US
Mailing Address - Phone:616-821-2903
Mailing Address - Fax:
Practice Address - Street 1:256 S ROUTE 59 STE 128
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-9108
Practice Address - Country:US
Practice Address - Phone:332-824-0630
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.032880207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine