NPIMap

Organization Active NPI

Fkleung, MD, LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Waukegan, IL
National Provider Identifier
1205159076
Registry record updated Mar 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
36061041 Issued in IL
Legal business name
FKLEUNG, MD, LLC
Practice address
2504 Washington St
Suite 102
Waukegan, IL 60085-4983
Phone
(847) 623-7590
Fax
(847) 623-7591
NPI assigned
Mar 9, 2010
Last updated
Mar 9, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2010

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

Authorized official

Name
Dr. Frank K Leung, M.D.NPI 1972524510
Title
President
Phone
(847) 623-7590

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 36061041 IL Primary

Addresses

Primary practice location

2504 Washington St
Suite 102
Waukegan, IL 60085-4983

Mailing address

2504 Washington St
Suite 102
Waukegan, IL 60085-4983
Phone (847) 623-7590

Other identifiers 1

IdentifierTypeStateIssuer
21629689OtherILBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

2504 Washington St
Waukegan, IL 60085
Phone (847) 336-2288

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268092800000",
    "number": "1205159076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 WASHINGTON ST",
            "address_2": "SUITE 102",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600854983",
            "telephone_number": "847-623-7590",
            "fax_number": "847-623-7591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 WASHINGTON ST",
            "address_2": "SUITE 102",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600854983",
            "telephone_number": "847-623-7590",
            "fax_number": "847-623-7591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FKLEUNG, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-09",
        "last_updated": "2010-03-09",
        "status": "A",
        "authorized_official_last_name": "LEUNG",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-623-7590",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "IL",
            "license": "36061041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "21629689",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukegan, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; 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.