Active NPI
Lucia Gleason, M.D.
- Family Medicine Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036146576
- Practice address
- 1150 W Fullerton Ave
Floor 2
Chicago, IL 60614 - Phone
- (773) 549-7757
- Fax
- (773) 549-1221
- NPI assigned
- Apr 28, 2015
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 125067787 | IL | |
| Family Medicine Physician | 207Q00000X | 036146576 | IL | Primary |
Addresses
Primary practice location
1150 W Fullerton Ave
Floor 2
Chicago, IL 60614
Mailing address
1000 Remington Blvd Ste 100
Bolingbrook, IL 60440-4707
Other practice location 1
1127 N Oakley Blvd
2nd floor
Chicago, IL 60622-3507
Phone (312) 770-2040
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lgleason60344@ce-direct.presencehealth.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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1150 W Fullerton Ave
Chicago, IL 60614-8160
Phone (773) 549-7757
Hospital & facility affiliations
- Presence Saint Joseph Hospital - Chicago
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036146576 | IL | MD | Family Medicine Physician |
| 125067787 | IL | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presence Healthcare Services | Current | Accepting new patients | |
| Presence Healthcare Services | Current | Accepting new patients | |
| Presence Healthcare Services | Family Medicine | Current | Accepting new patients |
| Presence Healthcare Services | Past | Accepting new patients |
Locations
1000 Remington Blvd
Ste 100
Bolingbrook, IL 60440
Phone (630) 914-2417
331 W Surf St
Ste 801
Chicago, IL 60657
62311 Collection Ctr Dr
Chicago, IL 60693
2800 N Sheridan Rd
Ste 60
Chicago, IL 60657
Phone (773) 525-8846
1150 W Fullerton Ave
Ste 2
Chicago, IL 60614
Phone (773) 549-7757
1150 W Fullerton Ave
Chicago, IL 60614
Phone (773) 549-7757
2845 N Sheridan Rd
Ste 801
Chicago, IL 60657
Phone (773) 665-6851
Interoperability endpoints
- lgleason60344@ce-direct.presencehealth.org
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Elk Grove Village, IL
- NPI 1932216819
Family Medicine
-
- Internal Medicine Physician
- Bolingbrook, IL
- NPI 1043748338
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1821105750
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1922115864
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1679659585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615939200000",
"number": "1487031407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 REMINGTON BLVD STE 100",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404707",
"fax_number": "630-914-2469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 W FULLERTON AVE",
"address_2": "FLOOR 2",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60614",
"telephone_number": "773-549-7757",
"fax_number": "773-549-1221"
}
],
"practiceLocations": [
{
"address_1": "1127 N Oakley Blvd",
"address_2": "2nd floor",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606223507",
"country_code": "US",
"telephone_number": "312-770-2040",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GLEASON",
"first_name": "LUCIA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-28",
"last_updated": "2021-03-17",
"certification_date": "2021-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IL",
"license": "125067787",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036146576",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lgleason60344@ce-direct.presencehealth.org",
"affiliation": "N",
"address_1": "1150 W Fullerton Ave",
"address_2": "Floor 2",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "60614",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Mar 17, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.