Associated Physicians, SC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036097934 Issued in IL

Legal business name

ASSOCIATED PHYSICIANS, SC

Practice address

1405 E 12TH St
Suite 300
Mendota, IL 61342-9011

Phone

(815) 539-3141

Fax

(815) 487-4901

NPI assigned

Mar 7, 2007

Last updated

Apr 4, 2012By 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

Leonardo Lopez, M.D.NPI 1376643007

Title

President

Phone

(815) 538-2031

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Leonardo Lopez, M.D.

  • Family Medicine Physician
  • Mendota, IL
  • NPI 1376643007
  Authorized official Same address or phone
• John Fredrick Kreckman, M.D.

  • Family Medicine Physician
  • Springfield, IL
  • NPI 1124126909
  NPD (past)

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333497600000",
    "number": "1265562151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 E 12TH ST",
            "address_2": "SUITE 300",
            "city": "MENDOTA",
            "state": "IL",
            "postal_code": "613429010",
            "telephone_number": "815-539-3141",
            "fax_number": "815-487-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 E 12TH ST",
            "address_2": "SUITE 300",
            "city": "MENDOTA",
            "state": "IL",
            "postal_code": "613429011",
            "telephone_number": "815-539-3141",
            "fax_number": "815-487-4901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED PHYSICIANS, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2012-04-04",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "LEONARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-538-2031",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036097934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allure of Mendota, LLC
• Allure of Mendota, LLC
• American Lutheran Church Mendota (Mendota Lutheran Home)
• Abdul Moyeed Atif, PHARMD
• Richard Jospeh Baker
• Balanced Family Chiropractic LTD
• Reid Baltikauski, DPT
• Juli Renee Barrett Leifheit, DC

• Family Medicine Physician in Mendota, IL
• Providers in Mendota, 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 Apr 4, 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.