Nicholas Roger Leroy, D.C.

Primary specialty

Internist ChiropractorTaxonomy code 111NI0900X

License

038-007739 Issued in IL

Practice address

1002 W. Lake Street
Chicago, IL 60607

Phone

(312) 243-3338

NPI assigned

Feb 13, 2007

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Illinois Center for Progressive Health, SC

  • Chiropractor
  • Chicago, IL
  • NPI 1720318934
  NPD (past) Authorized official
• Brannick Clinic of Natural Medicine, S.C.

  • Internist Chiropractor
  • St Charles, IL
  • NPI 1881868016
  NPD (past)

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277856000000",
    "number": "1720120876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 W. LAKE STREET",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60607",
            "telephone_number": "312-243-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 W. LAKE STREET",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60607",
            "telephone_number": "312-243-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEROY",
        "first_name": "NICHOLAS",
        "middle_name": "ROGER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2010-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "IL",
            "license": "038-007739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "001607135",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "457811",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Katherine Lerner, LCSW
• Shira Lerner, MD
• Stacy Anna Lerner, NP
• Terrence Lerner, MD
• Timothy Sean Leroux, MD, MED
• Ornsuda Lertbannaphong, MD
• Larissa Lertola, BCBA
• Apinya Lertratanakul, M.D.
• Yongsuk - Lertratanakul, MD
• Yukhol Lertsburapa, MD

• Internist Chiropractor in Chicago, IL
• Providers in Chicago, IL by specialty
• Internist Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; 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.