DR. LAURA M LEBEAU (NPI# 1962454017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962454017 |
| Entity Type | Individual |
| Full Name | DR. LAURA M LEBEAU |
| Credential | D.P.M. |
| Practice Address |
2124 S Austin Blvd Cicero IL 60804-2012 |
| Practice Telephone | 7088635376 |
| Practice Fax Number | 7088635375 |
| Mailing Telephone | 7088635376 |
| Mailing Fax Number | 7088635375 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2014-06-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 835025 | WI | Podiatric Medicine & Surgery Service Providers |
| Y | 213E00000X | Podiatrist | 016004478 | IL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEMERC # WITH PPG | 0732240001 | 01 | |
| IL | 016004478 | 05 | |
| BLUE CROSS BLUE SHIELD | 60000161 | 01 |
| Street Address |
2124 S AUSTIN BLVD |
| City | CICERO |
| State | IL |
| Zip Code | 60804-2012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427111392 | All Family Foot and Ankle Ltd | Podiatrist | 2124 S Austin Blvd, Cicero, IL 60804-2012 | 2006-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265096945 | Jacqueline N/a Gonzalez | Physical Therapy Assistant | 3521 S 56th Ct, Cicero, IL 60804 | 2019-04-27 |
| 1265966832 | Jacqueline Calles | Substance Abuse Rehabilitation Facility | 4904 W. 32nd St, Cicero, IL 60804 | 2017-04-20 |
| 1346667771 | America's Best Contacts & Eyeglasses | Technician/Technologist | 4741 W Cermak Rd, Cicero, IL 60804 | 2014-03-24 |
| 1538580469 | Jesus Paul Sanchez | Behavioral Analyst | 3100 S. Central Ave, Cicero, IL 60804 | 2013-12-19 |
| 1568712123 | Monil P Shah Dmd PC | Dentist | 5539 W Cermak Road, Cicero, IL 60804 | 2012-09-11 |
| 1699073148 | Lolita Aguinaga | Social Worker | 5341 W. Cermak Road, Cicero, IL 60804 | 2011-03-08 |
| 1699949263 | Anne T Gearhart | Pediatrics | 2307 S Cicero Ave, Chicago, IL 60804 | 2008-04-15 |
| 1437332467 | J S Vitamins and More Inc | Durable Medical Equipment & Medical Supplies | 4785 W Cermatz, Circero, IL 60804 | 2007-12-13 |
| 1427171339 | Barbara J Majchrowski | Optometrist | 5729 W 35th Street, Suite 1east, Cicero, IL 60804 | 2007-04-06 |
| 1124190269 | Gulliume Moor | Psychologist | 6117 West Cermak Road, Cicero, IL 60804 | 2006-11-14 |
| Find all providers in zip 60804 | ||||
| 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 |
|---|---|---|---|---|
| 1922287663 | Luis E. Mendoza Ltd | Podiatrist | 5610 W Cermak Rd, Unit 2, Cicero, IL 60804-2219 | 2007-10-30 |
| 1710006028 | Vittorio Caterino | Podiatrist | 5700 W Cermak Rd, Cicero, IL 60804-2128 | 2007-03-28 |
| 1427111392 | All Family Foot and Ankle Ltd | Podiatrist | 2124 S Austin Blvd, Cicero, IL 60804-2012 | 2006-12-19 |
| 1306887328 | Luis E Mendoza | Podiatrist | 5610 W Cermak Rd, Cicero, IL 60804 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881200343 | Podiatric Management Systems LLC | Podiatrist | 1 S067 Summit Ave, Oakbrook Terrace, IL 60181 | 2020-09-21 |
| 1114533700 | Podiatric Management Systems LLC | Podiatrist | 537 W 31st St, Chicago, IL 60616-3294 | 2020-09-18 |
| 1306452099 | Podiatric Management Systems LLC | Podiatrist | 2 W Talcott Rd Ste 23, Park Ridge, IL 60068-5558 | 2020-09-18 |
| 1073129763 | Podiatric Management Systems LLC | Podiatrist | 4310f W Crystal Lake Rd # F, Mchenry, IL 60050-4208 | 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 |
| 1689145898 | S Thomas Sehy D P M L L C | Podiatrist | 213 Nw 10th St Ste B, Fairfield, IL 62837-1219 | 2018-12-16 |
| 1548746761 | Jeremy Marchand | Podiatrist | 2751 W Winona St Rm Ap457, Chicago, IL 60625-2508 | 2018-07-11 |
| 1932693744 | Giovanni Incandela | Podiatrist | 700 E Algonquin Rd Unit 2313, Schaumburg, IL 60173-3835 | 2018-06-15 |
| Find all providers with the same taxonomy | ||||
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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.