Organization Active NPI

Leon J Frazin, M.D.

  • Cardiovascular Disease Physician
  • Chicago, IL
National Provider Identifier
1003912908
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
LEON J FRAZIN, M.D.
Practice address
2222 W Division St
Ste 250
Chicago, IL 60622-2717
Phone
(773) 276-0988
Fax
(773) 276-0955
NPI assigned
Sep 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Leon J Frazin, M.D.
Title
Physician/Surgeon
Phone
(847) 635-6490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X IL Primary

Addresses

Primary practice location

2222 W Division St
Ste 250
Chicago, IL 60622-2717

Mailing address

241 Golf Mill Ctr
Ste 728
Niles, IL 60714-1224
Phone (847) 635-6490

Other names 1

  • leon j frazin, m.d., s.c. Doing business as

National Provider Directory

National Provider Directory

Locations

241 Golf Mill Ctr
Ste 728
Niles, IL 60714
Phone (847) 635-7840

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003912908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 GOLF MILL CTR",
            "address_2": "STE 728",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607141224",
            "telephone_number": "847-635-6490",
            "fax_number": "847-635-6491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 W DIVISION ST",
            "address_2": "STE 250",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222717",
            "telephone_number": "773-276-0988",
            "fax_number": "773-276-0955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEON J FRAZIN, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRAZIN",
        "authorized_official_first_name": "LEON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN/SURGEON",
        "authorized_official_telephone_number": "847-635-6490",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "leon j frazin, m.d., s.c.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.