Active NPI
Huddleston Medical Services, S.C.
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Chicago, IL
National Provider Identifier
1902931397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Legal business name
- HUDDLESTON MEDICAL SERVICES, S.C.
- Practice address
- 4646 N Marine Dr
Suitec6300
Chicago, IL 60640-5759 - Phone
- (773) 728-7373
- NPI assigned
- Feb 23, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Leon M Huddleston, M.D.
- Title
- President
- Phone
- (312) 399-2165
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | IL | Primary |
Addresses
Primary practice location
4646 N Marine Dr
Suitec6300
Chicago, IL 60640-5759
Mailing address
1302 N Cleveland Ave
Unit 2
Chicago, IL 60610-1718
Phone (312) 255-1203
National Provider Directory
National Provider DirectoryLocations
4646 N Marine Dr
#6300
Chicago, IL 60640
Phone (773) 728-7373
11600 S Kedzie Ave
#D
Merrionette Park, IL 60803
Phone (708) 389-1360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1902931397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1302 N CLEVELAND AVE",
"address_2": "UNIT 2",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606101718",
"telephone_number": "312-255-1203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4646 N MARINE DR",
"address_2": "SUITEC6300",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606405759",
"telephone_number": "773-728-7373"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUDDLESTON MEDICAL SERVICES, S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-23",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HUDDLESTON",
"authorized_official_first_name": "LEON",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "312-399-2165",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.