Active NPI
Leonard Stallings MD & Associates
- Internal Medicine Physician
- Chicago, IL
National Provider Identifier
1053481176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036071417
- Legal business name
- LEONARD STALLINGS MD & ASSOCIATES
- Practice address
- 5120 W Jackson Blvd
Chicago, IL 60644-4332 - Phone
- (773) 265-4566
- Fax
- (773) 265-4576
- NPI assigned
- Nov 8, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Leonard Stallings, MD
- Title
- President
- Phone
- (773) 265-4566
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036071417 | IL | Primary |
Addresses
Primary practice location
5120 W Jackson Blvd
Chicago, IL 60644-4332
Mailing address
PO Box 5128
River Forest, IL 60305
Phone (773) 265-4639
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036071417 | Medicaid | IL |
National Provider Directory
National Provider DirectoryLocations
3435 W Van Buren St
#B
Chicago, IL 60624
Phone (773) 265-4566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1400457600000",
"number": "1053481176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5128",
"city": "RIVER FOREST",
"state": "IL",
"postal_code": "60305",
"telephone_number": "773-265-4639",
"fax_number": "773-265-4576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5120 W JACKSON BLVD",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606444332",
"telephone_number": "773-265-4566",
"fax_number": "773-265-4576"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEONARD STALLINGS MD & ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-08",
"last_updated": "2014-05-19",
"status": "A",
"authorized_official_last_name": "STALLINGS",
"authorized_official_first_name": "LEONARD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "773-265-4566",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "IL",
"license": "036071417",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036071417",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
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 May 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.