LEONARD R JUBERT (NPI# 1760414460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760414460 |
| Entity Type | Individual |
| Full Name | LEONARD R JUBERT |
| Practice Address |
8054 S Western Ave Chicago IL 60620-5936 |
| Practice Telephone | 7737769400 |
| Practice Fax Number | 7737769644 |
| Mailing Telephone | 7737769400 |
| Mailing Fax Number | 7737769644 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2008-04-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 016004432 | IL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS ID NUMBER | 60001709 | 01 |
| IL | 016004432 | 05 |
| Street Address |
8054 S WESTERN AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60620-5936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932387370 | Leonard R. Jubert | Durable Medical Equipment & Medical Supplies | 8054 S Western Ave, Chicago, IL 60620-5936 | 2008-02-07 |
| 1417078635 | Jerome R. Oliver | Chiropractor | 8054 S Western Ave, Chicago, IL 60620-5936 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295358182 | Kenya Reed | Developmental Therapist | 8920 S Loomis St, Apt 116, Chicago, IL 60620 | 2020-05-26 |
| 1255820031 | Bnd Transportation | Non-emergency Medical Transport (VAN) | 9436 S Laflin St # 3, Chicago, IL 60620 | 2018-05-07 |
| 1386132520 | It Takes A Community LLC | Day Training, Developmentally Disabled Services | 9046 S Justine St, Chicago, IL 60620 | 2018-04-24 |
| 1598200164 | Julie Rae Scott | Social Worker | 400 W 76th Street, Suite 226, Chicago, IL 60620 | 2017-01-05 |
| 1033521968 | James Towns | Clinical Exercise Physiologist | 9247 S. Wentworth, Chicago, IL 60620 | 2014-05-27 |
| 1629488788 | Renee Victoria Green | Counselor | 9415 S. Lowe, Chicago, IL 60620 | 2014-04-29 |
| 1588085138 | Steven Hsu | Chiropractor | 9415 S. Western Ave., Suite 207, Chicago, IL 60620 | 2013-12-30 |
| 1164791810 | Richard Kasper | Pharmacist | 7901 S Western, Chicago, IL 60620 | 2011-12-27 |
| 1992089916 | Michawn Willis | Pharmacist | 8636 S Ashland, Chicago, IL 60620 | 2011-10-10 |
| 1770884314 | Gjm Consultant Services PC | Home Health | 400 W. 76th Street, Suite 202, Chicago, IL 60620 | 2010-11-13 |
| Find all providers in zip 60620 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114533700 | Podiatric Management Systems LLC | Podiatrist | 537 W 31st St, Chicago, IL 60616-3294 | 2020-09-18 |
| 1679187090 | Podiatric Management Systems LLC | Podiatrist | 5600 W Addison St Lowr 2ll, Chicago, IL 60634-4499 | 2020-09-02 |
| 1932742848 | Foot and Ankle Care & Associates, Ltd | Podiatrist | 3320 W 63rd St, Chicago, IL 60629-3317 | 2019-10-23 |
| 1437622966 | Tomasz Szmyd Dpm, PC | Podiatrist | 1500 E 67th St, Chicago, IL 60637-4427 | 2019-01-08 |
| 1548746761 | Jeremy Marchand | Podiatrist | 2751 W Winona St Rm Ap457, Chicago, IL 60625-2508 | 2018-07-11 |
| 1770004814 | Andrew Alward | Podiatrist | 2027 W Division St # 180, Chicago, IL 60622-9024 | 2017-06-28 |
| 1043730625 | Mary Elizabeth Hickner | Podiatrist | 2751 W Winona St Apt 457, Chicago, IL 60625-2508 | 2017-06-23 |
| 1225489172 | Alison Dawn Traffanstedt Young | Podiatrist | 30 N Michigan Ave Ste 1129, Chicago, IL 60602-3478 | 2016-06-22 |
| 1922454131 | Mary Cobb | Podiatrist | 1428 E 69th St, Chicago, IL 60637-4804 | 2016-05-05 |
| 1407233760 | Aaron Raestas | Podiatrist | 730 S Dearborn St # T, Chicago, IL 60605-1838 | 2015-05-06 |
| Find all providers in CHICAGO | ||||
Please comment or provide details below to improve the information on LEONARD R JUBERT.
| 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.