Individual provider Active NPI

Laura L. Deon, MD

  • Pediatric Rehabilitation Medicine Physician
  • Chicago, IL
National Provider Identifier
1164626669
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Rehabilitation Medicine PhysicianTaxonomy code 2081P0010X
License
036-122713 Issued in IL
Practice address
1725 W Harrison St
Suite 118
Chicago, IL 60612-3841
Phone
(312) 942-8905
NPI assigned
Jun 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X M7943 TX
Pediatric Rehabilitation Medicine Physician 2081P0010X 036-122713 IL Primary

Addresses

Primary practice location

1725 W Harrison St
Suite 118
Chicago, IL 60612-3841

Mailing address

1725 W Harrison St
Suite 118
Chicago, IL 60612-3841
Phone (312) 942-8905

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 312-942-2384 Direct

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
I20110214000199 IL Practitioner - Physical Medicine and RehabilitationPractitioner - Pediatric Medicine 1153484092 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Tennessee, HSC, College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians

Practice addresses (Care Compare)

1520 W Harrison St
Chicago, IL 60607-3106
Phone (312) 942-5904

1700 W Van Buren St
Chicago, IL 60612-5500
Phone (312) 563-2875

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M7943TXMDPhysical Medicine & Rehabilitation Physician
036-122713ILMDPediatric Rehabilitation Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rush University Medical Center CurrentSince Oct 1, 2020 Accepting new patients
Cook County CurrentSince Mar 1, 2016 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Cook County Current Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Feb 18, 2017 Accepting new patients
Rush University Medical Group Physical Medicine & Rehabilitation CurrentSince Oct 1, 2020 Accepting new patients
Cook County Physical Medicine & Rehabilitation CurrentSince Mar 1, 2016 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Feb 18, 2017 Accepting new patients

Locations

1401 S California Ave
Chicago, IL 60608
Phone (773) 522-5853

1725 W Harrison St
Ste 118
Chicago, IL 60612
Phone (312) 942-4817

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

1520 W Harrison St
Chicago, IL 60607
Phone (312) 226-2371

1801 W Taylor St
#3F
Chicago, IL 60612
Phone (312) 355-4300

840 S Wood St
#856
Chicago, IL 60612
Phone (312) 413-1429

1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100

1725 W Harrison St
Ste 855
Chicago, IL 60612
Phone (312) 563-2320

500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000

75 Remittance Dr
Dept 1611
Chicago, IL 60675

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

Interoperability endpoints

  • Direct secure messaging: laura.deon.1@11074.direct.athenahealth.com
  • Direct secure messaging: ldeon14593@direct.rush.rush-health.com

Organizations & group practices 8

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": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1164626669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST",
            "address_2": "SUITE 118",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123841",
            "telephone_number": "312-942-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST",
            "address_2": "SUITE 118",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123841",
            "telephone_number": "312-942-8905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEON",
        "first_name": "LAURA",
        "middle_name": "L.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "M7943",
            "primary": false
        },
        {
            "code": "2081P0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
            "state": "IL",
            "license": "036-122713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "312-942-2384",
            "affiliation": "N",
            "endpointDescription": "Office Fax",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Fax",
            "address_1": "1725 W Harrison St",
            "address_2": "Suite 118",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606123841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.