Jose V Deleon, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

036047845 Issued in IL

Practice address

104 Princeton Lane
Glenview, IL 60026-5950

Phone

(312) 909-2881

Fax

(773) 292-8283

NPI assigned

Jun 8, 2006

Last updated

Dec 28, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Humboldt Park Health

  dba Prohealth Medical Center

  • Clinic/Center
  • Chicago, IL
  • NPI 1619146867
  NPD (past)

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261958400000",
    "number": "1750322392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 PRINCETON LANE",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600265950",
            "telephone_number": "312-909-2881",
            "fax_number": "773-292-8283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 PRINCETON LANE",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600265950",
            "telephone_number": "312-909-2881",
            "fax_number": "773-292-8283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELEON",
        "first_name": "JOSE",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2009-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IL",
            "license": "036047845",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036047845",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valentina Dehghan-Bernabe, M.D.
• Heather B Dejanovich, LCSW
• Vadim Dekhtyar, L. AC.
• Claire Marie Delaney, LCSW
• Karen Delauter-Moore
• Alicia Dellinger, PT
• Alexander Jesus Delpino
• Brooke Morgan Demaio
• Brian Marc Dembo, O.D.
• Rachel Merrin Demuro, OTR/L

• General Practice Physician in Glenview, IL
• Providers in Glenview, IL by specialty
• General Practice Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2009; 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.