Active NPI
Lesley Althea Charles, MD
- Infectious Disease Physician
- Chicago, IL
National Provider Identifier
1376564492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 036-082544
- Practice address
- 500 E 51St St
Chicago, IL 60615-2400 - Phone
- (312) 572-2657
- Fax
- (312) 572-2595
- NPI assigned
- Jul 22, 2006
- Last updated
- Apr 10, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036-082544 | IL | |
| Infectious Disease Physician | 207RI0200X | 036-082544 | IL | Primary |
Addresses
Primary practice location
500 E 51St St
Chicago, IL 60615-2400
Mailing address
711 S Ashland Ave
Unit N
Chicago, IL 60607-3166
Phone (312) 226-2665
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036-082544 | Other | IL | STATE LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-082544 | IL | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491782400000",
"number": "1376564492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 S ASHLAND AVE",
"address_2": "UNIT N",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606073166",
"telephone_number": "312-226-2665",
"fax_number": "312-226-2665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 E 51ST ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606152400",
"telephone_number": "312-572-2657",
"fax_number": "312-572-2595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHARLES",
"first_name": "LESLEY",
"middle_name": "ALTHEA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-22",
"last_updated": "2017-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036-082544",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "IL",
"license": "036-082544",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "036-082544",
"state": "IL"
}
],
"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 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.