Individual provider Active NPI

Lucia Gleason, M.D.

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1487031407
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036146576 Issued in IL
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

Updated by the provider on Mar 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181009000840 IL Practitioner - Family Practice 3577852060 Reassigns benefits to 1 organization

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
Presence Healthcare ServicesGroup PAC ID 2860396769, 69 clinicians

Practice addresses (Care Compare)

1150 W Fullerton Ave
Chicago, IL 60614-8160
Phone (773) 549-7757

Hospital & facility affiliations

  • Presence Saint Joseph Hospital - Chicago Hospital, Chicago, IL, CCN 140224

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036146576ILMDFamily Medicine Physician
125067787ILMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Presence Healthcare Services CurrentSince Oct 22, 2018 Accepting new patients
Presence Healthcare Services CurrentSince Oct 22, 2018 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.