Active NPI
Leonard D Elkun MD SC
- Geriatric Psychiatry Physician
- Chicago, IL
National Provider Identifier
1356446306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Psychiatry Physician
- Legal business name
- LEONARD D ELKUN MD SC
- Practice address
- 411 W Ontario St
Suite 402
Chicago, IL 60610-6945 - Phone
- (312) 943-8322
- Fax
- (312) 943-8323
- NPI assigned
- Sep 14, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Leonard David Elkun, MD
- Title
- President
- Phone
- (312) 943-8322
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | |||
| Geriatric Psychiatry Physician | 2084P0805X | Primary |
Addresses
Primary practice location
411 W Ontario St
Suite 402
Chicago, IL 60610-6945
Mailing address
411 W Ontario St
Suite 402
Chicago, IL 60610-6945
Phone (312) 943-8322
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Geriatric Psychiatry Physician
- Chicago, IL
- NPI 1023129145
Neurology With Special Qualifications in Child Neurology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1619222400000",
"number": "1356446306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 W ONTARIO ST",
"address_2": "SUITE 402",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606106945",
"telephone_number": "312-943-8322",
"fax_number": "312-943-8323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 W ONTARIO ST",
"address_2": "SUITE 402",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606106945",
"telephone_number": "312-943-8322",
"fax_number": "312-943-8323"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEONARD D ELKUN MD SC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-14",
"last_updated": "2021-04-24",
"certification_date": "2021-04-24",
"status": "A",
"authorized_official_last_name": "ELKUN",
"authorized_official_first_name": "LEONARD",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "312-943-8322",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084N0402X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0805X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.