LEON Y QUE, M.D.S.C.


Address: 6959 S Pulaski Rd, Suite A, Chicago, IL 60629-4238
Phone: 7738381088

LEON Y QUE, M.D.S.C. (NPI# 1215267067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215267067
Entity Type Organization
Organization Name LEON Y QUE, M.D.S.C.
Practice Address 6959 S Pulaski Rd
Suite A
Chicago
IL 60629-4238
Practice Telephone 7738381088
Practice Fax Number 7735812847
Mailing Telephone 7738381088
Mailing Fax Number 7735812847
Enumeration Date 2009-12-29
Last Update Date 2009-12-29
Authorized Official Name DR. LEON Y QUE (PRESIDENT)
Authorized Official Telephone 7738381088
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
36043152 IL Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
IL BCBS 21604003 01
IL 36043152 05
IL MEDICARE PTAN 471670 01

Office Location

Street Address 6959 S PULASKI RD
SUITE A
City CHICAGO
State IL
Zip Code 60629-4238

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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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1356814503 Thompson Medical Incorporated Clinic/Center 933 E Hyde Park Blvd Ste G, Chicago, IL 60615-2722 2019-01-09
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1407209208 Mount Sinai Hospital Medical Center Clinic/Center 1501 S California Ave # L1026, Chicago, IL 60608-1732 2016-07-16
1487058731 Encinas Medical Center Clinic/Center 4614 S Ashland Ave, Chicago, IL 60609-3251 2014-10-15
1366872061 Lawndale Christian Health Center Clinic/Center 5122 S Archer Ave, Chicago, IL 60632-4508 2013-11-15
1083051643 Oak Street Health Physicians Group, PC Clinic/Center 30 W Monroe St Ste 1200, Chicago, IL 60603-2420 2013-05-22
1043564529 Triple S Medical Care S.c. Clinic/Center 6455 S Pulaski Rd, Chicago, IL 60629 2012-11-05
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Competitor

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City CHICAGO
Zip Code 60629

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Dataset Information

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.

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