Individual provider Active NPI

Leslie Anne Brookfield, MD

  • Cardiovascular Disease Physician
  • Park Ridge, IL
National Provider Identifier
1164463535
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
036065325 Issued in IL
Practice address
1775 Ballard Rd Lowr Level
Park Ridge, IL 60068-1005
Phone
(847) 698-5500
Fax
(847) 318-2703
NPI assigned
Jun 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 036065325 IL Primary

Addresses

Primary practice location

1775 Ballard Rd Lowr Level
Park Ridge, IL 60068-1005

Mailing address

29373 Network PL
Chicago, IL 60673-1293
Phone (847) 390-5900

Other names 1

  • Leslie Brookfield-Stone Other name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address lbrookfieldstone205143@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

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
I20100426000240 IL Practitioner - Cardiovascular Disease (Cardiology) 2062549967 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036065325ILMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lutheran General Hospital Cardiovascular Disease CurrentSince May 1, 1999 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince May 1, 1999 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince May 22, 2022 Accepting new patients

Locations

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

6000 W Touhy Ave
Chicago, IL 60646
Phone (708) 390-5928

29373 Network Pl
Chicago, IL 60673

22049 Network Pl
Chicago, IL 60673

1255 Milwaukee Ave
Glenview, IL 60025
Phone (847) 294-5480

1775 Ballard Rd
Lowr
Park Ridge, IL 60068
Phone (847) 698-5500

1875 W Dempster St
Park Ridge, IL 60068
Phone (847) 723-8640

1775 W Dempster St
Park Ridge, IL 60068
Phone (847) 723-5150

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1164463535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29373 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731293",
            "telephone_number": "847-390-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 BALLARD RD LOWR LEVEL",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681005",
            "telephone_number": "847-698-5500",
            "fax_number": "847-318-2703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKFIELD",
        "first_name": "LESLIE",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036065325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lbrookfieldstone205143@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1775 Ballard Rd Lowr Level",
            "city": "Park Ridge",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600681005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1775 Ballard Rd Lowr Level",
            "city": "Park Ridge",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600681005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "BROOKFIELD-STONE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Park Ridge, IL

Sources for this page

Verify at the official NPI Registry.