Leonard R Jubert

Primary specialty

PodiatristTaxonomy code 213E00000X

License

016004432 Issued in IL

Practice address

8054 S Western Ave
Chicago, IL 60620-5936

Phone

(773) 776-9400

Fax

(773) 776-9644

NPI assigned

Jul 6, 2006

Sex

Male

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208822400000",
    "number": "1760414460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8054 S WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606205936",
            "telephone_number": "773-776-9400",
            "fax_number": "773-776-9644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8054 S WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606205936",
            "telephone_number": "773-776-9400",
            "fax_number": "773-776-9644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUBERT",
        "first_name": "LEONARD",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2008-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016004432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS ID NUMBER",
            "identifier": "60001709",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016004432",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monica Juarez
• Rodrigo Juarez Jr., D.C.
• Froilan A Juat, MD
• Mary Juba, RN
• Christina Juber, DPM
• Jubilant Hearts Healthcare Incorporated
• Jubilee Adult Day Center Inc
• Taylor Alexandra Jubilee
• Simon Jubrail
• Kastytis Alexander Jucas, M.D.

• Podiatrist in Chicago, IL
• Providers in Chicago, IL by specialty
• Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.