Leo G. Pepa, M.D.,LTD.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LEO G. PEPA, M.D.,LTD.

Practice address

2425 Rpyal Blvd
Suite 200
Elgin, IL 60123-2507

Phone

(847) 428-0400

Fax

(847) 428-0534

NPI assigned

Jan 18, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Bernice K. Drevs

Title

MGR

Phone

(847) 428-0400

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327881600000",
    "number": "1255484028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 ROYAL BLVD",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601232507",
            "telephone_number": "847-428-0400",
            "fax_number": "847-428-0534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 RPYAL BLVD",
            "address_2": "SUITE 200",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601232507",
            "telephone_number": "847-428-0400",
            "fax_number": "847-428-0534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEO G. PEPA, M.D.,LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2012-01-30",
        "status": "A",
        "authorized_official_last_name": "DREVS",
        "authorized_official_first_name": "BERNICE",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "847-428-0400",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036044641",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1669551685",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Michael Lefelstein, DDS
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• Donald Lellish
• Merideth Lembke
• Tonkya Johnetta Lemons, REGISTERED NURSE
• Jose Manuel Leon Bahena
• Stephanie Leuthold, COTA/L
• Paul Leuzzi
• William Levis, M.D.
• Thomas J Lewandowski, PA-C

• Family Medicine Physician in Elgin, IL
• Providers in Elgin, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; 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.