Organization Active NPI

Leeda Services of Illinois, Inc.

  • Community/Behavioral Health Agency
  • Chicago, IL
National Provider Identifier
1194990002
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
400477 Issued in IL
Legal business name
LEEDA SERVICES OF ILLINOIS, INC.
Practice address
1607 W Howard St Unit 400
Chicago, IL 60626-1675
Phone
(773) 274-9760
NPI assigned
Apr 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Authorized official

Name
Edward C. Anderson
Title
President
Phone
(773) 274-9760

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 400477 IL Primary

Addresses

Primary practice location

1607 W Howard St Unit 400
Chicago, IL 60626-1675

Mailing address

1607 W Howard St Unit 400
Chicago, IL 60626-1675
Phone (773) 274-9760

National Provider Directory

National Provider Directory

Locations

1607 W Howard St
Unit 400
Chicago, IL 60626
Phone (773) 274-9760

NPI Registry JSON

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1194990002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 W HOWARD ST UNIT 400",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606261675",
            "telephone_number": "773-274-9760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 W HOWARD ST UNIT 400",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606261675",
            "telephone_number": "773-274-9760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEEDA SERVICES OF ILLINOIS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-274-9760"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "400477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; 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.