JACK C LEONG MD SC (NPI# 1437357480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437357480 |
| Entity Type | Organization |
| Organization Name | JACK C LEONG MD SC |
| Practice Address |
3000 N Cicero Ave Chicago IL 60641-5106 |
| Practice Telephone | 7732823115 |
| Practice Fax Number | 7732820590 |
| Mailing Telephone | 7732823115 |
| Mailing Fax Number | 7732820590 |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2020-10-20 |
| Authorized Official Name | DR. JACK C LEONG (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7732823115 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
036070436 | IL | Ambulatory Health Care Facilities |
| Street Address |
3000 N CICERO AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60641-5106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174506513 | Jack Leong | Pediatrics | 3000 N Cicero Ave, Chicago, IL 60641-5106 | 2005-11-21 |
| 1013448448 | Jack C. Leong Md Sc | Allergy & Immunology | 3000 N Cicero Ave, Chicago, IL 60641-5106 | 2017-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063038131 | Victoria Carmen Grau Kazmierzcak | Student in an Organized Health Care Education/Training Program | 5458 W Grace St, Unit 2, Chicago, IL 60641 | 2020-06-24 |
| 1659926921 | Farah Alhaidar | Counselor | 4028 W Irving Park Rd Loft B, Chicago, IL 60641 | 2019-08-05 |
| 1255898482 | Bernadeta Agnieszka Kapustka | Nurse Practitioner | 5425 W Addison, Chicago, IL 60641 | 2019-02-24 |
| 1295200921 | The Dental Masters of Belmont, LLC | Dentist | 5236 W. Belmont Ave., Chicago, IL 60641 | 2018-10-09 |
| 1700364171 | National Vision Inc | Technician/Technologist | 4068 North Milwaukee Avenue, Chicago, IL 60641 | 2018-07-30 |
| 1477055168 | Elaine Vozar Acupuncturist Ltd | Acupuncturist | 3817 N. Pulaski, Chicago, IL 60641 | 2018-03-08 |
| 1174906853 | Heather Rocco | Hearing Instrument Specialist | 4122 N Millwaukee Ave, Chicago, IL 60641 | 2015-06-30 |
| 1770910184 | Kendra Manning | Physician Assistant | 4959 W. Belmont Ave, Chicago, IL 60641 | 2013-09-30 |
| 1679916274 | Don E Mccree | Technician, Cardiology | 2936 N. Kolmar, 3c, Chicago, IL 60641 | 2013-04-12 |
| 1053664888 | Scott P Dusenbery | Occupational Therapist | 3235 N Lockwood Apt 3, Chicago, IL 60641 | 2012-10-17 |
| Find all providers in zip 60641 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| 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 |
| 1497251037 | Thomas L Pitts, Md LLC | Clinic/Center | 233 E Erie St Ste 702, Chicago, IL 60611-5933 | 2018-04-03 |
| 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 |
| 1548541022 | Valentinalb,s.c. | Clinic/Center | 5108 N Lincoln Ave, Chicago, IL 60625-7295 | 2011-08-29 |
| Find all providers in CHICAGO | ||||
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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.