DR. ANDREY LEONOV (NPI# 1043310261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043310261 |
| Entity Type | Individual |
| Full Name | DR. ANDREY LEONOV |
| Credential | M.D. |
| Practice Address |
2100 Glenwood Ave Joliet IL 60435-5487 |
| Mailing Address |
1860 Paysphere Cir Chicago IL 60674-0018 |
| Practice Telephone | 8155142712 |
| Mailing Telephone | 6304692000 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2019-02-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | 036-125826 | IL | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 248493 | NY | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 35089736 | OH | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 25MA08039700 | NJ | Allopathic & Osteopathic Physicians |
| N | 2080P0201X |
Pediatrics Specialization: Pediatric Allergy/Immunology |
4301107932 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2745373 | 05 |
| Street Address |
2100 GLENWOOD AVE |
| City | JOLIET |
| State | IL |
| Zip Code | 60435-5487 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689675811 | Timothy Fendon | Emergency Medicine | 2100 Glenwood Ave, Joliet, IL 60435-5487 | 2005-08-10 |
| 1396371811 | Leonard Kevyn Banogon Ferolin | Physical Therapist | 2100 Glenwood Ave, Joliet, IL 60435-5487 | 2020-03-16 |
| 1093370611 | Kyle Ren Barcenas Fernando | Physical Therapist | 2100 Glenwood Ave, Joliet, IL 60435-5487 | 2019-05-08 |
| 1376034918 | Kathryn Schroeder | Physical Therapist | 2100 Glenwood Ave, Joliet, IL 60435-5487 | 2018-05-18 |
| 1033609763 | Matthew Peter Lukanich | Physical Therapist | 2100 Glenwood Ave, Joliet, IL 60435-5487 | 2018-05-17 |
| 1588151260 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 2100 Glenwood Ave, Joliet, IL 60435-5487 | 2018-04-18 |
| 1790284487 | Daniel Capparelli | Physical Therapist | 2100 Glenwood Ave, Joliet, IL 60435-5487 | 2018-02-08 |
| 1831616044 | Michael John Donovitch | Physical Therapist | 2100 Glenwood Ave, Joliet, IL 60435-5487 | 2017-08-28 |
| 1700309895 | Michael Plachy Jr. | Physical Therapy Assistant | 2100 Glenwood Ave, Joliet, IL 60435-5487 | 2017-07-20 |
| 1487189551 | Alyssa Brown | Occupational Therapist | 2100 Glenwood Ave, Suite 110, Joliet, IL 60435-5487 | 2017-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851889018 | Chime Ajiere | Nurse Practitioner | 511 Theodore St, Joliet, IL 60435 | 2018-04-24 |
| 1740791284 | Melanie Presnak | Speech-Language Pathologist | 1207 N Larkin Ave, Joliet, IL 60435 | 2017-10-23 |
| 1831618883 | Jeriel Marsena Quarles | Licensed Practical Nurse | 1617 W Jefferson Street, Joliet, IL 60435 | 2017-09-11 |
| 1053769760 | Cody Hutchinson | Physical Therapy Assistant | 2943 W Jefferson St, Joliet, IL 60435 | 2016-06-03 |
| 1659748549 | Megan Ryab | Massage Therapist | 501 Wilcox St, Joliet, IL 60435 | 2015-08-26 |
| 1922416197 | Kodo Care, Inc. | Pharmacy | 221 Springfield Avenue, Suite A, Joliet, IL 60435 | 2014-07-31 |
| 1528489739 | My Family Doc LLC | Family Medicine | 2001-03 Essington Rd, Joliet, IL 60435 | 2013-12-16 |
| 1184973869 | R A Lombardi Dds PC | Dentist | 3011 Theodore St., Joliet, IL 60435 | 2012-09-10 |
| 1245546076 | Kelly Rae Lesemann | Chiropractor | 1011 Essington Road, Joliet, IL 60435 | 2010-08-31 |
| 1932413697 | Ann E Todd | Optometrist | 1521 Essington Road, Everything In Sight, Joliet, IL 60435 | 2010-08-04 |
| Find all providers in zip 60435 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790885234 | Margaret Mary Lowery | Allergy & Immunology | 2100 Glenwood Ave, Suite 110, Joliet, IL 60435-5487 | 2006-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649749813 | Thao T Doan | Allergy & Immunology | 523 Sandy Ln, Libertyville, IL 60048-3553 | 2018-11-17 |
| 1275063695 | Chicago Allergy & Asthma, LLC | Allergy & Immunology | 7447 W Talcott Ave Ste 308, Chicago, IL 60631-3714 | 2017-06-18 |
| 1982022810 | Kirk Van Shepard II | Allergy & Immunology | 3000 N Halsted St Ste 400, Chicago, IL 60657-8480 | 2014-03-28 |
| 1790102176 | Jennifer Christine Simonaire | Allergy & Immunology | 908 N Elm St Ste 205, Hinsdale, IL 60521-3637 | 2014-03-24 |
| 1558794446 | Sarah M Boudreau-romano | Allergy & Immunology | 1300 N Lake Shore Dr Apt 3a, Chicago, IL 60610-2157 | 2013-08-14 |
| 1821420209 | Donald Ernest Temple | Allergy & Immunology | 110 E Delaware Pl, Chicago, IL 60611-1481 | 2013-08-07 |
| 1013259647 | Melissa Lee Robinson | Allergy & Immunology | 430 Pennsylvania Ave Ste 220, Glen Ellyn, IL 60137 | 2013-03-21 |
| 1871859645 | Sarah Garon | Allergy & Immunology | 1460 N Halsted St Ste 506, Chicago, IL 60642-2605 | 2012-04-06 |
| 1386919421 | Henry J. Dold | Allergy & Immunology | 1300 Kenilworth Av, Glenview, IL 60025-2204 | 2012-03-21 |
| 1386919538 | Diosdado T Lim | Allergy & Immunology | 7520 W. Ute Ln, Palos Heights, IL 60463-2076 | 2012-03-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.