Evan George McLeod, MD

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

036057437 Issued in IL

Practice address

2800 W 95TH St
Evergreen Park, IL 60805-2746

Phone

(708) 424-9288

Fax

(708) 422-9707

NPI assigned

Apr 12, 2006

Last updated

Aug 23, 2011By the provider in NPPES

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Pulmonary Medicine Consultants LTD

  • Pulmonary Disease Physician
  • Evergreen Park, IL
  • NPI 1841318649
  Authorized official Same address or phone

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314057600000",
    "number": "1760446330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 W 95TH ST",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052746",
            "telephone_number": "708-424-9288",
            "fax_number": "708-422-9707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 W 95TH ST",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052746",
            "telephone_number": "708-424-9288",
            "fax_number": "708-422-9707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEOD",
        "first_name": "EVAN",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2011-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IL",
            "license": "036057437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036057437",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• MCC Healthcare Services
• MCC Healthcare Services, Inc.
• Lauren McDonnell, MOTR/L
• Timothy K McGinnis, DPT
• Michael J. McGrail, M.D.
• Jeffrey M McMahon, ADN
• Clair McNally, M.S., CCC-SLP
• Medplus Laboratory LLC
• Harshad M Mehta, MD
• Meijer Great Lakes Limited Partnership (Meijer Pharmacy #265)

• Pulmonary Disease Physician in Evergreen Park, IL
• Providers in Evergreen Park, IL by specialty
• Pulmonary Disease Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2011; 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.