Samuel D Leung, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036062409 Issued in IL

Practice address

2142 S Archer Ave
Chicago, IL 60616-1514

Phone

(312) 326-1400

Fax

(312) 326-4188

NPI assigned

Mar 1, 2007

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 Osteopathy, Doctor of Medicine

State licenses

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831227941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 HILLCREST COURT",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605275757",
            "telephone_number": "630-986-0568",
            "fax_number": "312-326-4188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2142 S ARCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606161514",
            "telephone_number": "312-326-1400",
            "fax_number": "312-326-4188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEUNG",
        "first_name": "SAMUEL",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036062409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036062409",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Leung, C.N.M.
• Lap Ming Leung, RPH
• Lena Yeenot Leung, PHARMD
• Michelle Leung, PHARMD
• Randy Man Hymn Leung, M.D.
• Simone Leung
• Vania Leung
• Meka Leuning, OTR/L
• Emily M Leuvoy, MD
• Danya Lev

• Family Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.