LEONARDO LOPEZ (NPI# 1376643007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376643007 |
| Entity Type | Individual |
| Full Name | LEONARDO LOPEZ |
| Credential | M.D. |
| Practice Address |
1311 Memorial Dr Ste 500 Mendota IL 61342-3013 |
| Practice Telephone | 8155393141 |
| Practice Fax Number | 8154874901 |
| Mailing Telephone | 8155393141 |
| Mailing Fax Number | 8155381838 |
| Enumeration Date | 2006-09-23 |
| Last Update Date | 2008-02-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036098968 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | LICENSE | 036098968 | 01 |
| IL | CONTROLLED SUB. LICENSE | 336059388 | 01 |
| IL | DEA | BL6101935 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679089551 | Leonardo Lopez | Technician/Technologist | 965 Broadhollow Rd, Farmingdale, NY 11735-3906 | 2017-12-14 |
| 1861797961 | Leonardo Daniel Lopez | Pharmacist | 701 E Ridge Rd, Mcallen, TX 78503-1553 | 2011-01-20 |
| 1831347251 | Leonardo E Lopez Jr. | Internal Medicine | 203 Hospital Dr, Raton, NM 87740-2012 | 2008-08-28 |
| 1659530269 | Leonardo Lopez | Student in an Organized Health Care Education/Training Program | 7559 263rd St, Glen Oaks, NY 11004-1150 | 2008-06-09 |
| 1588686570 | Leonardo N. Lopez | Pediatrics | 470 Stillwells Corner Rd, Freehold, NJ 07728-2969 | 2006-07-25 |
| 1215991914 | Leonardo Vicente Lopez | Internal Medicine | 2601 Sw 37th Ave, Suite 701, Miami, FL 33133-2700 | 2006-04-12 |
| Street Address |
1311 MEMORIAL DR STE 500 |
| City | MENDOTA |
| State | IL |
| Zip Code | 61342-3013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568536845 | Keri Sundberg | Dentist | 709 Plaza Drive, Mendota, IL 61342 | 2006-11-20 |
| 1114022589 | Goslin Drug Store Inc | Pharmacy | 1212 13th Ave, Mendota, IL 61342 | 2006-09-13 |
| 1467402412 | Neungja Chung | Acupuncturist | Mendota Community Hospital, 1315 Memorial Drive, Mendota, IL 61342 | 2006-05-11 |
| 1487622205 | Kelly R. Minihane | Physician Assistant | 1404 Washington Street, Mendota, IL 61342 | 2006-03-08 |
| 1134193022 | Donald Wilbert Piller | Chiropractor | 1312 Lakewood Dr, Mendota, IL 61342 | 2006-02-15 |
| 1770975377 | National Pain Clinic, LLC | Anesthesiology | 1401 E 12th St, Mendota, IL 61342 | 2015-02-19 |
| 1073869475 | Katherine Rose Riva-foster | Anesthesiology | 1401 E 12th St, Mendota, IL 61342 | 2012-08-03 |
| 1386789220 | Juli Renee Barrett Leifheit | Chiropractor | 901 Main St, Ste A, Mendota, IL 61342 | 2007-02-20 |
| 1205383197 | Mendota Community Hospital | Clinic/Center | 1401 Washington Street, Mendota, IL 61342-0001 | 2016-09-08 |
| 1780699447 | Linnea L Person | Chiropractor | 1301 14th Ave, Mendota, IL 61342-1001 | 2006-07-30 |
| Find all providers in zip 61342 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750302253 | Mary M Chinn | Family Medicine | 1404 Washington St, Mendota, IL 61342-1471 | 2006-07-21 |
| 1841211380 | David A Scholl | Family Medicine | 1405 East 12th Street, Suite 600, Mendota, IL 61342-9216 | 2006-07-21 |
| 1982676656 | Zachary J Fulton | Family Medicine | 1405 E 12th St Ste 200, Mendota, IL 61342-9011 | 2006-02-06 |
| 1285143354 | Dr. Megan's Healthcare Ministries LLC | Family Medicine | 1201 Meriden St, Mendota, IL 61342-2501 | 2017-09-21 |
| 1184148744 | Joanna Fabris | Family Medicine | 121 Barboza St, Mendota, CA 93640-1901 | 2017-07-26 |
| 1376956235 | Mandeep Kaur | Family Medicine | 121 Barboza St, Mendota, CA 93640-1901 | 2014-06-09 |
| 1134420144 | Shila Shafii Noori | Family Medicine | 121 Barboza St, Mendota, CA 93640-1901 | 2010-11-08 |
| 1588836688 | Kristen Marie Stockamp | Family Medicine | 121 Barboza St, Mendota, CA 93640-1901 | 2008-03-28 |
| 1265562151 | Associated Physicians, Sc | Family Medicine | 1405 E 12th St, Suite 300, Mendota, IL 61342-9011 | 2007-03-07 |
| 1376566539 | Amy Matheis-soliman | Family Medicine | 1405 East 12th Street, Suite 600, Mendota, IL 61342-9216 | 2006-07-26 |
| Find all providers in MENDOTA | ||||
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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.