Individual provider Active NPI

Leon M Huddleston, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Chicago, IL
National Provider Identifier
1164417473
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Practice address
1401 S California Ave
Chicago, IL 60608-1858
Phone
(773) 522-2010
NPI assigned
Sep 13, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X IL Primary

Addresses

Primary practice location

1401 S California Ave
Chicago, IL 60608-1858

Mailing address

PO Box 7227
Westchester, IL 60154-7227
Phone (708) 786-2900

Other identifiers 1

IdentifierTypeStateIssuer
036-113839-1MedicaidIL

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050902000635 IL Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain Management 2163454752 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Interventional Pain Management
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16310 S Lincoln Hwy
Suite 132
Plainfield, IL 60586-9100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Removal of tissue35
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-113839ILMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healogics Specialty Physicians of Illinois, LLC CurrentSince Jun 21, 2019 Accepting new patients
Absolute Integrated Health, S.C. CurrentSince Jan 12, 2013 Accepting new patients
Integrative Pathways PLLC CurrentSince Nov 8, 2025 Accepting new patients
Grand Prairie Services PastSince Sep 1, 2016 Accepting new patients
Kedzie Medical Clinic Inc Past Accepting new patients
Schwab Rehabilitation Hospital and Care Network Past Accepting new patients

Locations

5220 Belfort Rd
Ste 130
Jacksonville, FL 32256
Phone (904) 446-3686

77 N Airlite St
Elgin, IL 60123
Phone (847) 622-3407

16310 S Lincoln Hwy
Ste 124
Plainfield, IL 60586
Phone (815) 782-8440

16310 S Lincoln Hwy
Ste 128
Plainfield, IL 60586
Phone (815) 782-8440

16310 S Lincoln Hwy
Ste 132
Plainfield, IL 60586
Phone (815) 782-8440

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FDAGDD/Endpoint/FDAGDD

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1164417473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7227",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601547227",
            "telephone_number": "708-786-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S CALIFORNIA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606081858",
            "telephone_number": "773-522-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDDLESTON",
        "first_name": "LEON",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036-113839-1",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.