Active NPI
Leslie Spencer, MD
- Gynecology Physician
- Hinsdale, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 03691693
- Practice address
- 40 S Clay St # 100
Hinsdale, IL 60521-3257 - Phone
- (630) 920-2229
- Fax
- (630) 920-8342
- NPI assigned
- Aug 18, 2006
- Last updated
- Feb 18, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 03691693 | IL | Primary |
Addresses
Primary practice location
40 S Clay St # 100
Hinsdale, IL 60521-3257
Mailing address
1860 Paysphere Cir
Chicago, IL 60674-0018
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00631958 | Other | IL | RR MEDICARE |
| 036091693 | Medicaid | IL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lspencer3565@direct.edward.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03691693 | IL | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dupage Medical Group LTD | Current | Accepting new patients | |
| Dupage Medical Group LTD | Current | Accepting new patients |
Locations
30 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 893-2210
1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000
40 S Clay St
#100
Hinsdale, IL 60521
Phone (630) 920-2229
40 S Clay St
Ste LL10
Hinsdale, IL 60521
Phone (630) 432-6848
908 N Elm St
Ste 300
Hinsdale, IL 60521
Phone (630) 455-1756
Interoperability endpoints
- lspencer3565@direct.edward.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba DuPage Medical Group
- Multi-Specialty Clinic/Center
- Downers Grove, IL
- NPI 1801833983
-
- Durable Medical Equipment & Medical Supplies
- Glen Ellyn, IL
- NPI 1760979447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613606400000",
"number": "1316051097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1860 PAYSPHERE CIR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606740018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 S CLAY ST # 100",
"city": "HINSDALE",
"state": "IL",
"postal_code": "605213257",
"telephone_number": "630-920-2229",
"fax_number": "630-920-8342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCER",
"first_name": "LESLIE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-18",
"last_updated": "2021-02-18",
"certification_date": "2021-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "IL",
"license": "03691693",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00631958",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036091693",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lspencer3565@direct.edward.org",
"affiliation": "N",
"address_1": "40 S Clay St # 100",
"city": "Hinsdale",
"state": "IL",
"country_code": "US",
"postal_code": "605213257",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hinsdale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.