Leonid Reznik, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

085003054 Issued in IL

Practice address

830 E. Higgins Road
Suite 113a
Schaumburg, IL 60173

Phone

(224) 653-9000

Fax

(224) 653-8459

NPI assigned

Apr 4, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• DPT Holdings, LLC

  dba Doctors of Physical Therapy

  • Physical Therapist
  • Plainfield, IL
  • NPI 1689648602
  NPD (past)
• Gizunt SC

  • Physical Medicine & Rehabilitation Physician
  • Chicago, IL
  • NPI 1104951698
  NPD (past)
• Suburban Home Physicians,LLC

  • Internal Medicine Physician
  • Schaumburg, IL
  • NPI 1770722407
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321920000000",
    "number": "1699948299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 E. HIGGINS ROAD",
            "address_2": "SUITE 113A",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "60173",
            "telephone_number": "224-653-9000",
            "fax_number": "224-653-8459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 E. HIGGINS ROAD",
            "address_2": "SUITE 113A",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "60173",
            "telephone_number": "224-653-9000",
            "fax_number": "224-653-8459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REZNIK",
        "first_name": "LEONID",
        "name_prefix": "Dr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-04",
        "last_updated": "2011-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085003054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Joseph Resis, MD
• Revita Healthcare, LLC
• Revolution Dental (Revolution Dentistry)
• Anna Karissa Ticzon Reyes, D.M.D.
• Reyon Therapy LLC
• RGK Physical Therapy Services Inc
• Kate Rhodes, LPC
• Sarah Riccio, PSYD
• Harold Martin Rice-Erso, PH.D.
• Richard Izewski MD LTD

• Physician Assistant in Schaumburg, IL
• Providers in Schaumburg, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.