Leslie Jay Block, MD
Individual provider Active NPI Pediatric Otolaryngology Physician · Lake Forest, IL
NPI 1750300166 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1750300166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Otolaryngology Physician 207YP0228X
- Practice address
- 700 N Westmoreland Rd
BLD F
Lake Forest, IL 60045-1679 - Phone
- (847) 295-1114
- Fax
- (847) 295-9373
- NPI assigned
- Jul 18, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Otolaryngology
- Education
- Other, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lake County Head and Neck Specialists S.C.
Practice addresses (Care Compare)
1880 W Winchester Rd
Suite 103
Libertyville, IL 60048-5321
Phone (847) 367-5770
Hospital & facility affiliations
- University of Illinois Hospital and Clinics
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101030000216 | IL | Practitioner - Otolaryngology | 7810181161 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake County Head and Neck Specialists S.C. | Current |
Accepting new patients |
Locations
222 S Greenleaf St
Ste 102
Gurnee, IL 60031
Phone (847) 662-4442
1880 W Winchester Rd
Ste 103
Libertyville, IL 60048
Phone (847) 367-5770
Interoperability endpoints
- leslie.block.1@32683.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Otolaryngology Physician | 207YP0228X | IL | Yes |
Addresses
Primary practice location
700 N Westmoreland Rd
BLD F
Lake Forest, IL 60045-1679
Mailing address
700 N Westmoreland Rd
BLD F
Lake Forest, IL 60045-1679
Phone (847) 295-1114
Other providers in Lake Forest, IL
- Seema Widhani Bhatia
- Shreenath Bishu
- Brandon Stuart Blackwood
- Mary Ann Blendonohy
- Mark Blitstein
- Richard Allan Block
- Anokhi Dalia Bock
- Derek James Bock
- Body Fixx
- Diane Boquist
All providers in Lake Forest, IL · Pediatric Otolaryngology Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.