Whalio Doctors

NPI 1013448448

Jack C. Leong MD Sc

Organisation Family Medicine Physician Chicago, IL

Practice location

Address
3000 N Cicero Ave, Chicago, IL 60641-5106
Phone
(773) 231-2885

Authorised official

Name
Jack C Leong
Title
M.D, S.C.
Phone
(773) 282-3115

Registered specialties (5)

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 036070436 (IL)
Allergy & Immunology Physician
Allopathic & Osteopathic Physicians Taxonomy 207K00000X Licence 036070436 (IL)
Primary Care Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QP2300X Licence 336034323 (IL)
Health Maintenance Organization
Managed Care Organizations Taxonomy 302R00000X Licence 336034323 (IL)
Preferred Provider Organization
Managed Care Organizations Taxonomy 305R00000X Licence 336034323 (IL)

Registry record

NPI
1013448448
Entity type
Organization
NPI issued
27 Mar 2017
Record last updated
20 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.