Active NPI
Leak LLC
- General Practice Dentistry
- Glenview, IL
National Provider Identifier
1700337359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019-019712
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019-019712 | IL | Primary |
| General Practice Dentistry | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- General Practice Dentistry
- Glenview, IL
- NPI 1255446811
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.