Jack C. Leong Md Sc

LBN: Jack C. Leong Md Sc
Jack C. Leong Md Sc is an health care organization with primary practice located at 3000 N Cicero Ave , Chicago IL 60641-5106. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Primary Care, Managed Care Organizations / Health Maintenance Organization, Managed Care Organizations / Preferred Provider Organization. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Jack C. Leong Md Sc can be contacted via phone (773) 231-2885, or through Leong, Jack C via phone (773) 282-3115.

Contact Information

Primary practice address
3000 N Cicero Ave Chicago IL 60641-5106
Phone: (773) 231-2885
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Leong, Jack C
Phone: (773) 282-3115

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 036070436 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036070436 Illinois
Ambulatory Health Care Facilities / Primary Care 261QP2300X 336034323 Illinois
Managed Care Organizations / Health Maintenance Organization 302R00000X 336034323 Illinois
Managed Care Organizations / Preferred Provider Organization 305R00000X 336034323 Illinois

Profile Details

NPI number 1013448448
LBN Legal business name Jack C. Leong Md Sc
DBA Doing business as Jack C. Leong Md Sc
Authorized official Leong, Jack C
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 27th, 2017
Last updated Oct 20th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013448448 NPPES
Illinois MEDICAID 036070436

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