NPIMap

Individual provider Active NPI

Leonard Dubin, M.D.

  • Internal Medicine Physician
  • Melrose Park, IL
National Provider Identifier
1518976737
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-104972 Issued in IL
Practice address
675 W North Ave
Suite 401
Melrose Park, IL 60160-1634
Phone
(708) 632-5566
Fax
(708) 680-5788
NPI assigned
Aug 5, 2006
Last updated
Apr 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036-104972 IL Primary

Addresses

Primary practice location

675 W North Ave
Suite 401
Melrose Park, IL 60160-1634

Mailing address

675 W North Ave
Suite 401
Melrose Park, IL 60160-1634
Phone (708) 632-5566

Other practice location 1

3340 Dundee Rd Ste 2N2
Northbrook, IL 60062-2332
Phone (847) 454-0301

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040414001840 IL Practitioner - Internal Medicine 4385639905 Reassigns benefits to 1 organization
Practice locations: Melrose Park, IL; Northbrook, IL

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

675 W N Ave
Suite 401
Melrose Park, IL 60160-1624
Phone (708) 632-5566

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-104972ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Loyola University Medical Center Current Accepting new patients
Leonard Dubin MD LLC Internal Medicine CurrentSince Apr 21, 2011 Accepting new patients
Gottlieb Community Health Services Corporation Past Accepting new patients

Locations

675 W North Ave
Ste 401
Melrose Park, IL 60160
Phone (708) 632-5566

675 W North Ave
Ste 409
Melrose Park, IL 60160
Phone (708) 450-5070

3340 Dundee Rd
Ste 2N2
Northbrook, IL 60062
Phone (847) 454-0301

Interoperability endpoints

  • Direct secure messaging: ldubin50726@direct.luhs.org

Organizations & group practices 3

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

Hospital & facility affiliations 7

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1518976737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 W NORTH AVE",
            "address_2": "SUITE 401",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601601634",
            "telephone_number": "708-632-5566",
            "fax_number": "708-680-5788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 W NORTH AVE",
            "address_2": "SUITE 401",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601601634",
            "telephone_number": "708-632-5566",
            "fax_number": "708-680-5788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3340 Dundee Rd Ste 2N2",
            "address_purpose": "LOCATION",
            "city": "Northbrook",
            "state": "IL",
            "postal_code": "600622332",
            "country_code": "US",
            "telephone_number": "847-454-0301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUBIN",
        "first_name": "LEONARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-104972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melrose Park, IL

Sources for this page

Verify at the official NPI Registry.