Leo G. Pepa, M.D.,Ltd.

LBN: Leo G. Pepa, M.D.,Ltd.
Leo G. Pepa, M.D.,Ltd. is an health care organization with primary practice located at 2425 Rpyal Blvd Suite 200, Elgin IL 60123-2507. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Leo G. Pepa, M.D.,Ltd. can be contacted via phone (847) 428-0400, or through Drevs, Bernice K. via phone (847) 428-0400.

Contact Information

Primary practice address
2425 Rpyal Blvd Suite 200 Elgin IL 60123-2507
Phone: (847) 428-0400
Fax: (847) 428-0534
Website:
Map and Directions
Authorized official contact:
Name: Drevs, Bernice K.
Phone: (847) 428-0400

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1255484028
LBN Legal business name Leo G. Pepa, M.D.,Ltd.
DBA Doing business as
Authorized official Drevs, Bernice K.
Entity Organization
Organization subpart 1 No
Enumeration date Jan 18th, 2007
Last updated Jan 30th, 2012 - about 13 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 1255484028 NPPES
Illinois MEDICAID 036044641
Illinois Other 1669551685

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