Active NPI
Mikhail Leonen
- Occupational Therapist
- Gurnee, IL
National Provider Identifier
1770247397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 7178 Buchanan Dr
Gurnee, IL 60031-5251 - Phone
- (224) 522-9743
- NPI assigned
- Oct 29, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
7178 Buchanan Dr
Gurnee, IL 60031-5251
Mailing address
7178 Buchanan Dr
Gurnee, IL 60031-5251
Phone (224) 522-9743
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Absolute Therapy Services LLC | Occupational Therapist | Current | Accepting new patients |
Locations
151 S Pfingsten Rd
Ste A
Deerfield, IL 60015
707 Skokie Blvd
Ste 600
Northbrook, IL 60062
Phone (847) 644-3628
Organizations & group practices 1
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.
-
- Physical Therapist
- Northbrook, IL
- NPI 1205439486
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635465600000",
"number": "1770247397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7178 BUCHANAN DR",
"city": "GURNEE",
"state": "IL",
"postal_code": "600315251",
"telephone_number": "224-522-9743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7178 BUCHANAN DR",
"city": "GURNEE",
"state": "IL",
"postal_code": "600315251",
"telephone_number": "224-522-9743"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEONEN",
"first_name": "MIKHAIL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-10-29",
"last_updated": "2021-10-29",
"certification_date": "2021-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gurnee, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.