Active NPI
Judy Legaspi, PA
- Physician Assistant
- Morton Grove, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 9000 Waukegan Rd
Suite 200
Morton Grove, IL 60053-2127 - Phone
- (847) 375-3000
- NPI assigned
- Jul 14, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | IL | Primary |
Addresses
Primary practice location
9000 Waukegan Rd
Suite 200
Morton Grove, IL 60053-2127
Mailing address
8930 Waukegan Rd
Suite 200 - Attn: Raquel Leon
Morton Grove, IL 60053-2126
Phone (847) 324-3976
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1909 S Jones Blvd
Las Vegas, NV 89146-1260
Phone (702) 486-6112
6847 W Charleston Blvd
Suite B
Las Vegas, NV 89117-1648
Phone (725) 205-1578
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085-002638 | IL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Nevada | Current | Accepting new patients | |
| Southern Nevada Adult Mental Health | Current | Accepting new patients | |
| Abide Health Medical a Professional Corp. | Current | Accepting new patients |
Locations
4150 Technology Way
Ste 100
Carson City, NV 89706
4150 Technology Way
Ste 300
Carson City, NV 89706
Phone (775) 684-4200
6161 W Charleston Blvd
Las Vegas, NV 89146
Phone (702) 486-4400
6847 W Charleston Blvd
Ste B
Las Vegas, NV 89117
Phone (725) 205-1578
1909 S Jones Blvd
Las Vegas, NV 89146
Phone (702) 471-0420
6161 W Charleston Blvd
Ofc
Las Vegas, NV 89146
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.
-
- Psychiatry Physician
- Las Vegas, NV
- NPI 1447034871
-
dba Ely Mental Health Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Ely, NV
- NPI 1760572010
-
- Adult Mental Health Clinic/Center
- Las Vegas, NV
- NPI 1891756920
-
- Skilled Nursing Facility
- Boulder City, NV
- NPI 1083612741
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1548286545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8930 WAUKEGAN RD",
"address_2": "SUITE 200 - ATTN: RAQUEL LEON",
"city": "MORTON GROVE",
"state": "IL",
"postal_code": "600532126",
"telephone_number": "847-324-3976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9000 WAUKEGAN RD",
"address_2": "SUITE 200",
"city": "MORTON GROVE",
"state": "IL",
"postal_code": "600532127",
"telephone_number": "847-375-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEGASPI",
"first_name": "JUDY",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morton Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.