Individual provider Active NPI

Leshaun Williams

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1043679681
Registry record updated Feb 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209013662 Issued in IL
Practice address
11000 S Halsted St
Chicago, IL 60628-3909
Phone
(773) 264-2236
Fax
(773) 264-2237
NPI assigned
Feb 10, 2016
Last updated
Feb 10, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209013662 IL Primary

Addresses

Primary practice location

11000 S Halsted St
Chicago, IL 60628-3909

Mailing address

11000 S Halsted St
Chicago, IL 60628-3909
Phone (773) 264-2236

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161212000651 IL Practitioner - Nurse Practitioner 0941580823 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Bernard HospitalGroup PAC ID 1759361579, 43 clinicians

Practice addresses (Care Compare)

6307 S Stewart Ave
Suite 309
Chicago, IL 60621-3116
Phone (773) 962-3900

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209013662ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health Physicians Group, PC Family CurrentSince Dec 9, 2019 Accepting new patients
New Southtown Medical Group S C CurrentSince Nov 7, 2016 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Aug 11, 2017 Accepting new patients
St Bernard Hospital CurrentSince Jul 6, 2024 Accepting new patients
St Bernard Hospital & Health Care Center CurrentSince Jul 6, 2024 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Aug 11, 2017 Accepting new patients
St Bernard Hospital OB/GYN Group Past Accepting new patients
Prime Plus Lakeview LLC Past Accepting new patients

Locations

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

11000 S Halsted St
Chicago, IL 60628
Phone (773) 264-2236

29373 Network Pl
Chicago, IL 60673

326 W 64th St
Chicago, IL 60621
Phone (773) 962-3900

4848 W Irving Park Rd
Chicago, IL 60641
Phone (773) 724-6200

6307 S Stewart Ave
Ste 309
Chicago, IL 60621
Phone (773) 420-1573

1401 Western Ave
Chicago Heights, IL 60411
Phone (708) 292-7000

8205 Cass Ave
Ste 110B
Darien, IL 60561
Phone (773) 840-4747

Organizations & group practices 8

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1455062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455062400000",
    "number": "1043679681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11000 S HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606283909",
            "telephone_number": "773-264-2236",
            "fax_number": "773-264-2237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11000 S HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606283909",
            "telephone_number": "773-264-2236",
            "fax_number": "773-264-2237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "LESHAUN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-10",
        "last_updated": "2016-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209013662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.