League Corp.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

LEAGUE CORP.

Practice address

515 N State St FL 8
Chicago, IL 60654-9102

Phone

(312) 967-2889

NPI assigned

Nov 14, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Muneeb Ahmed Yusuf, B.SC, MBA, JD

Title

General Counsel

Phone

(416) 477-2554

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1573689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573689600000",
    "number": "1164067054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 N STATE ST FL 8",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606549102",
            "telephone_number": "312-967-2889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 N STATE ST FL 8",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606549102",
            "telephone_number": "312-967-2889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAGUE CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-14",
        "last_updated": "2019-11-14",
        "status": "A",
        "authorized_official_last_name": "YUSUF",
        "authorized_official_first_name": "MUNEEB",
        "authorized_official_middle_name": "AHMED",
        "authorized_official_title_or_position": "GENERAL COUNSEL",
        "authorized_official_telephone_number": "416-477-2554",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "B.SC, MBA, JD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; 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.