Organization Active NPI

Leak LLC

  • General Practice Dentistry
  • Glenview, IL
National Provider Identifier
1700337359
Registry record updated Oct 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019-019712 Issued in IL
Legal business name
LEAK LLC
Practice address
2550 Compass Rd
Unit L
Glenview, IL 60026-1610
Phone
(847) 657-9111
Fax
(847) 657-9116
NPI assigned
Oct 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2016

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

Authorized official

Name
Dr. Victoria G. Remien Bigg, DDS
Title
Manager
Phone
(847) 657-9111

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 019-019712 IL Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 019-030675 IL

Addresses

Primary practice location

2550 Compass Rd
Unit L
Glenview, IL 60026-1610

Mailing address

2550 Compass Rd
Unit L
Glenview, IL 60026-1610
Phone (847) 657-9111

Other names 1

  • Victoria G Remien Bigg, DDS Doing business as

National Provider Directory

National Provider Directory

Locations

2550 Compass Rd
Ste L
Glenview, IL 60026
Phone (847) 657-9111

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476835200000",
    "number": "1700337359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 COMPASS RD",
            "address_2": "UNIT L",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600261610",
            "telephone_number": "847-657-9111",
            "fax_number": "847-657-9116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 COMPASS RD",
            "address_2": "UNIT L",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600261610",
            "telephone_number": "847-657-9111",
            "fax_number": "847-657-9116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-19",
        "last_updated": "2016-10-19",
        "status": "A",
        "authorized_official_last_name": "BIGG",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "G. REMIEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-657-9111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-019712",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-030675",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Victoria G Remien Bigg, DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 19, 2016; 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.