Organization Active NPI

Leonard Stallings MD & Associates

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1053481176
Registry record updated May 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036071417 Issued in IL
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

Updated by the provider on May 19, 2014

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
036071417MedicaidIL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.