Leon Y Que, M.D.S.C.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

36043152 Issued in IL

Legal business name

LEON Y QUE, M.D.S.C.

Practice address

6959 S Pulaski Rd
Suite a
Chicago, IL 60629-4238

Phone

(773) 838-1088

Fax

(773) 581-2847

NPI assigned

Dec 29, 2009

Last updated

Dec 29, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Leon Y Que, M.D.

Title

President

Phone

(773) 838-1088

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1262044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262044800000",
    "number": "1215267067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6959 S PULASKI RD",
            "address_2": "SUITE A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606294238",
            "telephone_number": "773-838-1088",
            "fax_number": "773-581-2847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6959 S PULASKI RD",
            "address_2": "SUITE A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606294238",
            "telephone_number": "773-838-1088",
            "fax_number": "773-581-2847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEON Y QUE, M.D.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-29",
        "last_updated": "2009-12-29",
        "status": "A",
        "authorized_official_last_name": "QUE",
        "authorized_official_first_name": "LEON",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-838-1088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IL",
            "license": "36043152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "21604003",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "471670",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36043152",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leo Taiberg, MD SC
• Paul Anthony Leo, MD
• Leon J Frazin, M.D. (leon j frazin, m.d., s.c.)
• Eduardo Rafael Leon Milan, MD
• Astrid Helena Leon Silva, MD
• Dulces Leon-Jauregui, MD
• Alex Leon, MSW
• Amanda Chiara Leon, DPT, PT
• Andreia Leon, PT
• Carla Denise Leon

• Primary Care Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Primary Care Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2009; 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.