Individual provider Active NPI

Julia Kim Leblanc, MD

  • Gastroenterology Physician
  • Crystal Lake, IL
National Provider Identifier
1467416990
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
036093017 Issued in IL
Practice address
875 South Route 31
Crystal Lake, IL 60014-8190
Phone
(779) 220-5500
Fax
(779) 220-5571
NPI assigned
Apr 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 01055473 IN
Gastroenterology Physician 207RG0100X 036093017 IL Primary
Internal Medicine Physician 207R00000X 01055473A IN

Addresses

Primary practice location

875 South Route 31
Crystal Lake, IL 60014-8190

Mailing address

875 S Route 31
Crystal Lake, IL 60014-8190
Phone (779) 220-5500

Other practice location 1

8201 E Riverside Blvd
Rockford, IL 61114-2300
Phone (815) 917-5000

Other practice location 2

1001 Grant St
Harvard, IL 60033-1822
Phone (815) 943-8090

Other practice location 3

8895 Broadway
Merrillville, IN 46410-7037
Phone (219) 738-2081

Other practice location 4

1205 S Main St Ste 201
Crown Point, IN 46307-3677
Phone (219) 769-8340

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jleblanc168669@Direct.FranciscanAlliance.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040507000596 IN Practitioner - GastroenterologyPractitioner - Internal Medicine 6002805801
I20231114001727 IL Practitioner - Gastroenterology 6002805801 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Rush Medical College of Rush University, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rockford Health PhysiciansGroup PAC ID 2567374036, 520 clinicians
Mercy Health System CorporationGroup PAC ID 7416860440, 749 clinicians

Practice addresses (Care Compare)

8201 E Riverside Blvd
Rockford, IL 61114-2300
Phone (815) 971-2000

875 S Route 31
Crystal Lake, IL 60014-8190
Phone (779) 220-5500

Hospital & facility affiliations

  • Mercyhealth Hospital & Physician Clinic-Crystal la Hospital, Crystal Lake, IL, CCN 140308
  • Javon Bea Hospital Hospital, Rockford, IL, CCN 140239
  • Mercy Harvard Hospital Hospital, Harvard, IL, CCN 141335
  • Mercy Health System Corp Hospital, Janesville, WI, CCN 520066

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy45
Upper gastrointestinal (GI) endoscopy for acid reflux85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01055473INMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Harvard Hospital Inc CurrentSince Dec 1, 2025 Accepting new patients
Mercy Health System Corporation CurrentSince Sep 25, 2023 Accepting new patients
Mercy Harvard Hospital Inc CurrentSince Dec 1, 2025 Accepting new patients
Rockford Health Physicians CurrentSince Sep 25, 2023 Accepting new patients
Mercy Health System Corporation CurrentSince Sep 25, 2023 Accepting new patients
Baylor College of Medicine Past Accepting new patients

Locations

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

875 S State Route 31
Crystal Lake, IL 60014
Phone (779) 220-5500

1001 Grant St
Harvard, IL 60033
Phone (815) 943-8090

901 Grant St
Harvard, IL 60033
Phone (815) 943-5431

348 S Division St
Harvard, IL 60033
Phone (815) 943-1122

2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510

8201 E Riverside Blvd
Rockford, IL 61114
Phone (815) 971-4066

Interoperability endpoints

  • Direct secure messaging: jleblanc107445@direct.mhemail.org
  • Direct secure messaging: jleblanc168669@direct.franciscanalliance.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1467416990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 S ROUTE 31",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600148190",
            "telephone_number": "779-220-5500",
            "fax_number": "779-220-5571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 SOUTH ROUTE 31",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600148190",
            "telephone_number": "779-220-5500",
            "fax_number": "779-220-5571"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8201 E Riverside Blvd",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "611142300",
            "country_code": "US",
            "telephone_number": "815-917-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 Grant St",
            "address_purpose": "LOCATION",
            "city": "Harvard",
            "state": "IL",
            "postal_code": "600331822",
            "country_code": "US",
            "telephone_number": "815-943-8090",
            "fax_number": "815-943-2978",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8895 Broadway",
            "address_purpose": "LOCATION",
            "city": "Merrillville",
            "state": "IN",
            "postal_code": "464107037",
            "country_code": "US",
            "telephone_number": "219-738-2081",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1205 S Main St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Crown Point",
            "state": "IN",
            "postal_code": "463073677",
            "country_code": "US",
            "telephone_number": "219-769-8340",
            "fax_number": "219-769-8343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEBLANC",
        "first_name": "JULIA",
        "middle_name": "KIM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-13",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IN",
            "license": "01055473",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036093017",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01055473A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jleblanc168669@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "297 W Franciscan Dr Ste 203",
            "city": "Crown Point",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463074859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

Verify at the official NPI Registry.