DR. THEODORE STANLEY LEONAS D.P.M. NPI 1477645745

NPI Information

NPI: 1477645745
Provider Name: DR. THEODORE STANLEY LEONAS, D.P.M.
Classification: Podiatrist - 213E00000X
Entity Type: Individual
Address:
1365 BENTON ST
CRETE, IL
ZIP 60417
Phone: (708) 672-4414
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DR. Theodore Stanley Leonas, D.P.M. is a podiatrist in Crete, IL. The provider is 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. DR. Theodore Stanley Leonas, D.P.M. NPI is 1477645745. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1365 BENTON ST
CRETE, IL
ZIP 60417-850
Phone: (708) 672-4414
Fax: (708) 672-4424

The enumeration date for this NPI number is 9/28/2006 and was last updated on 4/17/2008.

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	213E00000X	Podiatrist		16-003153	ILLINOIS	Yes

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
1	214179	MEDICARE PIN	ILLINOIS

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: 5/5/2024

NPI Synchronization or Removal

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