Amy Lebailly, RN

Primary specialty

Pediatric Registered NurseTaxonomy code 163WP0200X

License

041418302 Issued in IL

Practice address

225 E Chicago Ave
Chicago, IL 60611

Phone

(312) 227-4000

NPI assigned

Mar 17, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1584403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584489600000",
    "number": "1033745443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2124 N HUDSON AVE APT 203",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606144556",
            "telephone_number": "224-628-0637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E CHICAGO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60611",
            "telephone_number": "312-227-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBAILLY",
        "first_name": "AMY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-17",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "IL",
            "license": "041418302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barry M Leavitt, PSYD
• Jacqueline Leavitt, M.D.
• Olga Sergeevna Leavitt, M.D.
• Lakecia Leavy, PT
• Stephen Leb
• Phoebe Sebhatu Lebeau, PHARMD
• Robert Lebeau, BSPT
• Varvara Lebedeva
• Alexandra Lebiedzinski
• Anna Lebiedzinski, APN-CRNA

• Pediatric Registered Nurse in Chicago, IL
• Providers in Chicago, IL by specialty
• Pediatric Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.