MARY BETH LEONARD M.D. NPI 1063402048

NPI Information

  • NPI: 1063402048
  • Provider Name: MARY BETH LEONARD, M.D.
  • Classification: Surgery - 208600000X
  • Entity Type: Individual
  • Address: 3245 GROVE AVE
    BERWYN, IL
    ZIP 60402
  • Phone: (708) 484-0621

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NPI Details

Mary Beth Leonard, M.D. is a surgery in Berwyn, IL. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. Mary Beth Leonard, M.D. NPI is 1063402048. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3245 GROVE AVE
BERWYN, IL
ZIP 60402-474
Phone: (708) 484-0621
Fax: (708) 484-0250

The enumeration date for this NPI number is 10/21/2005 and was last updated on 3/9/2011.

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
1208600000XSurgery036-079983ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
101619787OTHERBCBSIL GROUP NUMBER
2A49101MEDICARE UPINILLINOIS
3517410MEDICARE PINILLINOIS
4036079983MEDICAIDILLINOIS
5K22627MEDICARE PINILLINOIS
6CI2940MEDICARE PINILLINOIS
7L66791MEDICARE PINILLINOIS
8212474MEDICARE PINILLINOIS
9020040376MEDICARE PINILLINOIS

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: 11/21/2025

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