Leo Koenig, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

36051868 Issued in IL

Practice address

1325 Community Memorial Dr
La Grange, IL 60525-2659

Phone

(708) 245-8900

Fax

(708) 245-5604

NPI assigned

May 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Adventist Midwest Health

  • Cardiovascular Disease Physician
  • La Grange, IL
  • NPI 1821156068

  IL

  Medicare reassignment NPD
• Adventist Midwest Health

  • Family Medicine Physician
  • La Grange, IL
  • NPI 1104953280

  Family Medicine

  NPD

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1013967322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 COMMUNITY MEMORIAL DR",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605252659",
            "telephone_number": "708-245-8900",
            "fax_number": "708-245-5604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 COMMUNITY MEMORIAL DR",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605252659",
            "telephone_number": "708-245-8900",
            "fax_number": "708-245-5604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOENIG",
        "first_name": "LEO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "36051868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "leo.koenig.2@380.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "1325 Community Memorial Dr",
            "city": "LA Grange",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605252659",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Emily Kinas
• Elizabeth Nguyen Kirchoff, D.O.
• KJM Integrative Psychotherapy and Wellness
• Katherine Elizabeth Klara, LCPC
• Jonah Koelling
• Winfred Kofi Kokor, M.D
• Sheela D Konda, M.D, PH.D
• Kelly Konkey, LCSW
• Maria Teresa Koumantos
• Andrea Ann Krasinski, MD

• All providers in La Grange, IL
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.