Organization Active NPI

Leonard R. Jubert

  • Durable Medical Equipment & Medical Supplies
  • Chicago, IL
National Provider Identifier
1932387370
Registry record updated Feb 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
LEONARD R. JUBERT
Practice address
8054 S Western Ave
Chicago, IL 60620-5936
Phone
(773) 776-9400
Fax
(773) 776-9644
NPI assigned
Feb 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2008

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

Authorized official

Name
Dr. Leonard R Jubert
Title
Owner/Podiatrist
Phone
(773) 776-9400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X IL Primary

Addresses

Primary practice location

8054 S Western Ave
Chicago, IL 60620-5936

Mailing address

8054 S Western Ave
Chicago, IL 60620-5936
Phone (773) 776-9400

Other identifiers 1

IdentifierTypeStateIssuer
60001709OtherILBLUE CROSS BLUE SHIELD ID

National Provider Directory

National Provider Directory

Locations

8054 S Western Ave
Chicago, IL 60620
Phone (773) 776-9400

NPI Registry JSON

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1932387370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8054 S WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606205936",
            "telephone_number": "773-776-9400",
            "fax_number": "773-776-9644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8054 S WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606205936",
            "telephone_number": "773-776-9400",
            "fax_number": "773-776-9644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEONARD R. JUBERT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "JUBERT",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/PODIATRIST",
        "authorized_official_telephone_number": "773-776-9400",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD ID",
            "identifier": "60001709",
            "state": "IL"
        }
    ],
    "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 Feb 8, 2008; 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.