Active NPI
Kim Cecilia Leung-Stone, M.D.
- Geriatric Medicine (Internal Medicine) Physician
- Glenview, IL
National Provider Identifier
1649255159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 036070938
- Practice address
- 2501 Compass Rd
Suite 100
Glenview, IL 60026-8000 - Phone
- (847) 901-5200
- Fax
- (847) 904-4917
- NPI assigned
- Dec 7, 2005
- 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 |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 036070938 | IL | Primary |
Addresses
Primary practice location
2501 Compass Rd
Suite 100
Glenview, IL 60026-8000
Mailing address
2501 Compass Rd
Ste 100
Glenview, IL 60026-8000
Phone (847) 901-5200
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0031601962 | Other | IL | BCBS PROVIDER # |
| 1912186024 | Other | GROUP NPI | |
| 261093600 | Other | IL | TAXID/FEIN |
| 216024 | Other | MEDICARE GROUP PTAN | |
| K48469 | Other | IL | MEDICARE PTAN |
| P00465920 | Other | RAILROAD MEDICARE PTAN | |
| DG9897 | Other | GA | RAILROAD MEDICARE GROUP NUMBER |
Other names 1
- Kim C Leung-Stone
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427068800000",
"number": "1649255159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 COMPASS RD",
"address_2": "STE 100",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600268000",
"telephone_number": "847-901-5200",
"fax_number": "847-904-4917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 COMPASS RD",
"address_2": "SUITE 100",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600268000",
"telephone_number": "847-901-5200",
"fax_number": "847-904-4917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEUNG-STONE",
"first_name": "KIM",
"middle_name": "CECILIA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-07",
"last_updated": "2015-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "IL",
"license": "036070938",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER #",
"identifier": "0031601962",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1912186024",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAXID/FEIN",
"identifier": "261093600",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PTAN",
"identifier": "216024",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "K48469",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PTAN",
"identifier": "P00465920",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE GROUP NUMBER",
"identifier": "DG9897",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KIM",
"last_name": "LEUNG-STONE",
"middle_name": "C",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Glenview, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.