Individual provider Active NPI

John Leuthner, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Fox Lake, IL
National Provider Identifier
1851737779
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
036150646 Issued in IL
Practice address
256 E Grand Ave
Fox Lake, IL 60020-1684
Phone
(847) 370-6712
NPI assigned
May 18, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 01078547 IN
Student in an Organized Health Care Education/Training Program 390200000X
Physical Medicine & Rehabilitation Physician 208100000X 036150646 IL Primary

Addresses

Primary practice location

256 E Grand Ave
Fox Lake, IL 60020-1684

Mailing address

6615 Grand Ave # 1037
Gurnee, IL 60031-4591

Other practice location 1

7901 Broadway
Elmhurst, NY 11373-1329
Phone (718) 334-4000

Other practice location 2

2200 Randallia Dr
Fort Wayne, IN 46805-4638
Phone (260) 373-4538

Other practice location 3

815 E Irving Park Rd
Streamwood, IL 60107-3073
Phone (877) 749-7428

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190913000085 WI Practitioner - Physical Medicine and Rehabilitation 5294033155 Reassigns benefits to 1 organization
I20191003001736 IL Practitioner - Physical Medicine and Rehabilitation 5294033155 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Loyola University of Chicago, Stritch School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Rehab Consultants LLCGroup PAC ID 7810184892, 162 clinicians

Practice addresses (Care Compare)

1750 N Randall Rd
Suite 160
Elgin, IL 60123-7902
Phone (847) 370-6712

611 Allen LN
St Charles, IL 60174-1355
Phone (630) 377-2211

7500 W N Ave
Wauwatosa, WI 53213-1717
Phone (414) 258-6170

Hospital & facility affiliations

  • Progressive Home Health Care Home health agency, Northbrook, IL, CCN 147697
  • Northwestern Medicine McHenry Hospital, McHenry, IL, CCN 140116
  • Encompass Health Rehab Institute of Libertyville Inpatient rehabilitation facility, Libertyville, IL, CCN 143031

Merit-based Incentive Payment System (MIPS)

Final score
79.28 of 100Reported as group
Quality
73.83
Improvement activities
40
Cost
45.57

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036150646ILMDPhysical Medicine & Rehabilitation Physician
01078547INMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Rehab Consultants LLC Physical Medicine & Rehabilitation CurrentSince Aug 6, 2019 Accepting new patients
Integrated Rehab Consultants LLC Physical Medicine & Rehabilitation CurrentSince Aug 6, 2019 Accepting new patients
Specialty Pain Anesthesia Rehabilitation Consultants LLC Physical Medicine & Rehabilitation CurrentSince Jan 1, 2021 Accepting new patients

Locations

1200 N Arlington Heights Rd
Arlington Heights, IL 60004
Phone (312) 890-0637

1750 N Randall Rd
Ste 160
Elgin, IL 60123
Phone (847) 370-6712

6615 Grand Ave
Gurnee, IL 60031
Phone (224) 402-3738

2000 W Lake St
Hanover Park, IL 60133
Phone (224) 456-6662

2773 Skokie Valley Rd
Highland Park, IL 60035
Phone (847) 266-9266

900 S Rand Rd
Lake Zurich, IL 60047
Phone (847) 726-1200

850 E US Highway 45
Mundelein, IL 60060
Phone (224) 864-7400

3 Erie Ct
Oak Park, IL 60302
Phone (708) 763-6200

611 Allen Ln
St Charles, IL 60174
Phone (630) 377-2211

850 Dunham Rd
St Charles, IL 60174
Phone (630) 443-4400

815 E Irving Park Rd
Streamwood, IL 60107
Phone (630) 479-4246

176 Thomas Ct
Wauconda, IL 60084
Phone (847) 526-5551

6201 Elmwood Ave
Middleton, WI 53562
Phone (608) 830-5141

2700 W Honadel Blvd
Oak Creek, WI 53154
Phone (414) 203-8310

7500 W North Ave
Wauwatosa, WI 53213
Phone (414) 258-6170

4545 N 92nd St
Wauwatosa, WI 53225
Phone (414) 464-3880

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1368835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1851737779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6615 GRAND AVE # 1037",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600314591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 E GRAND AVE",
            "city": "FOX LAKE",
            "state": "IL",
            "postal_code": "600201684",
            "telephone_number": "847-370-6712"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7901 Broadway",
            "address_purpose": "LOCATION",
            "city": "Elmhurst",
            "state": "NY",
            "postal_code": "113731329",
            "country_code": "US",
            "telephone_number": "718-334-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2200 Randallia Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468054638",
            "country_code": "US",
            "telephone_number": "260-373-4538",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "815 E Irving Park Rd",
            "address_purpose": "LOCATION",
            "city": "Streamwood",
            "state": "IL",
            "postal_code": "601073073",
            "country_code": "US",
            "telephone_number": "877-749-7428",
            "fax_number": "512-628-3314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEUTHNER",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-18",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IN",
            "license": "01078547",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "036150646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fox Lake, IL

Sources for this page

Verify at the official NPI Registry.