Leslie Norman Trubow, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036059636 Issued in IL

Practice address

550 Warrenville Rd
Suite 400
Lisle, IL 60532-4308

Phone

(630) 725-7205

Fax

(855) 210-5125

NPI assigned

Oct 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Gibson Community Hospital Association

  • Critical Access Hospital
  • Gibson City, IL
  • NPI 1114935681
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300924800000",
    "number": "1215021324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3171 WHISPERWOODS CT",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600626400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 WARRENVILLE RD",
            "address_2": "SUITE 400",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605324308",
            "telephone_number": "630-725-7205",
            "fax_number": "855-210-5125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUBOW",
        "first_name": "LESLIE",
        "middle_name": "NORMAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2011-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036059636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036059636",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Casey Kaye Trasatti, BCBA
• Tre Lux Wellness Lounge LLC
• Trident Clinical Laboratory LLC
• Trinity Services Inc.
• Richard J. Tronolone, DC
• Truecare Laboratory Services LLC
• Brendan Tupper
• Twenty First Century Pediatrics
• Twenty First Century Pediatrics PLLC
• Kenneth Tworek, MSW, LSW, CADC

• Pediatrics Physician in Lisle, IL
• Providers in Lisle, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; 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.