Leading Physician Partners Aco LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

LEADING PHYSICIAN PARTNERS ACO LLC

Practice address

715 W Lake St Ste 202
Addison, IL 60101-2082

Phone

(630) 366-6681

NPI assigned

Apr 5, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Chool Liyanapatabendi, MD

Title

Ceo

Phone

(630) 366-6681

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1554422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554422400000",
    "number": "1215499405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 W LAKE ST STE 202",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601012082",
            "telephone_number": "630-366-6681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 W LAKE ST STE 202",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601012082",
            "telephone_number": "630-366-6681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEADING PHYSICIAN PARTNERS ACO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-05",
        "last_updated": "2019-04-05",
        "status": "A",
        "authorized_official_last_name": "LIYANAPATABENDI",
        "authorized_official_first_name": "CHOOL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "630-366-6681",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake Street Family Medicine, LLC
• Jaclyn Laporte, MS, LCPC
• Alexandra Marisa Larson, RN
• Erin Marie Lastres, LCPC, CADC
• Eddie Lawando, OD
• Amy Lee, APRN-FPA
• Jennifer Sherese Lee
• Legacy Medical Care Inc
• Lehoux Chiropractic Center, LTD.
• Thomas Robert Leischner Sr., D.D.S.

• Health Service Clinic/Center in Addison, IL
• Providers in Addison, IL by specialty
• Health Service Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.