JACK C LEONG MD SC NPI 1437357480

NPI Information

NPI: 1437357480
Provider Name: JACK C LEONG MD SC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
3000 N CICERO AVE
CHICAGO, IL
ZIP 60641
Phone: (773) 282-3115
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JACK C LEONG MD SC is a primary care clinic center in Chicago, IL. JACK C LEONG MD SC NPI is 1437357480. The provider is registered as an organization entity type.

The provider's business location address is:

3000 N CICERO AVE
CHICAGO, IL
ZIP 60641-106
Phone: (773) 282-3115
Fax: (773) 282-0590

The provider's authorized official is Jack C Leong .
The authorized official title is Medical Director and has the following contact phone number (773) 282-3115.

The enumeration date for this NPI number is 7/10/2007 and was last updated on 10/20/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	036070436	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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