Pedro Leon, RDN, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

164006429 Issued in IL

Practice address

5100 N Ravenswood Ave Ste 226
Chicago, IL 60640-1752

Phone

(630) 947-2774

NPI assigned

Feb 24, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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

{
    "created_epoch": "1424736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574812800000",
    "number": "1174915490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5009 N SHERIDAN RD APT 203",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606401786",
            "telephone_number": "630-947-2774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 N RAVENSWOOD AVE STE 226",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606401752",
            "telephone_number": "630-947-2774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEON",
        "first_name": "PEDRO",
        "credential": "RDN, LDN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-24",
        "last_updated": "2019-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164006429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andreia Leon, PT
• Carla Denise Leon
• Gustavo Leon, MD
• Kara Michelle Leon, LCSW
• Lizette Leon, LCSW, CADC
• Rafael Leon, LCSW
• Samantha Joy Leon
• Shannon Rose Leon, OTR
• Leonard Cerullo, MD, LTD
• Leonard D Elkun MD SC

• Registered Dietitian in Chicago, IL
• Providers in Chicago, IL by specialty
• Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.