DR. LEO HENIKOFF JR. (NPI# 1265853170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265853170 |
| Entity Type | Individual |
| Full Name | DR. LEO HENIKOFF JR. |
| Credential | MD |
| Practice Address |
1437 W Lexington St Chicago IL 60607-4013 |
| Practice Telephone | 3125018187 |
| Practice Fax Number | 3122268187 |
| Mailing Telephone | 3125018187 |
| Mailing Fax Number | 3122268187 |
| Enumeration Date | 2013-12-18 |
| Last Update Date | 2013-12-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
036.039117 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
1437 W LEXINGTON ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60607-4013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992349237 | Portia Dowd | Registered Nurse | 140 N Ashland, Chicago, IL 60607 | 2019-10-30 |
| 1114577210 | Joseph Matthew Thiel | Emergency Medical Technician, Intermediate | 558 West De Koven, Chicago, IL 60607 | 2019-09-19 |
| 1215585757 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 1034 West Lake St, Chicago, IL 60607 | 2019-08-28 |
| 1003462821 | Michael Marek Maka | Psychologist | 820 W. Jackson Blvd, Suite 515, Chicago, IL 60607 | 2019-08-16 |
| 1558922344 | Kellie Meyer | Speech-Language Pathologist | Eyas Landing West Loop, 1409 W. Carroll Ave, Chicago, IL 60607 | 2019-06-24 |
| 1811460108 | Corinna House | Social Worker | 932 W Washington, Chicago, IL 60607 | 2019-01-09 |
| 1962979518 | Louise Taussig Bush | Counselor | 1142 West Madison Street, Suite 406, Chicago, IL 60607 | 2018-10-31 |
| 1568941318 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1051 W Randolph, Chicago, IL 60607 | 2018-08-13 |
| 1851883425 | Alefiyah Zulfiqar Pishori | Psychologist | 1200 West Harrison St, Chicago, IL 60607 | 2018-05-30 |
| 1679062954 | Elizabeth R Rolston | Physical Therapist | 24 S Morgan St Ste 100, Chicago, IL 60607 | 2018-05-02 |
| Find all providers in zip 60607 | ||||
| Taxonomy Code | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932425188 | Amy Marie O'connor | Pediatrics | 225 E Chicago Ave # 21, Chicago, IL 60611-2991 | 2010-04-13 |
| 1376709519 | Sanmit Kumar Basu | Pediatrics | 5841 S Maryland Ave # Mc4051, Chicago, IL 60637-1443 | 2008-08-06 |
| 1134241383 | Ep Consultation, Ltd | Pediatrics | 910 W Van Buren St, Ste 226, Chicago, IL 60607-3523 | 2007-04-06 |
| 1740210772 | Elfriede Pahl | Pediatrics | 2300 Childrens Plaza Box 21, Childrens Memorial Hospital, Chicago, IL 60614-3394 | 2006-07-04 |
| 1881624831 | Nina Louise Gotteiner | Pediatrics | 2300 Childrens Plaza Department of Cardiology, Childrens Memorial Hospital, Chicago, IL 60614 | 2006-07-04 |
| 1710947759 | Kendra Michelle Ward | Pediatrics | 2300 Childrens Plaza Box#, Chicago, IL 60614 | 2006-03-24 |
| 1962922955 | Stefania Lorena Soria Zurita | Pediatrics | 1620 W Harrison St, Chicago, IL 60612-3801 | 2017-06-21 |
| 1306250162 | Asad Qadir | Pediatrics | 225 E Chicago Ave, Box 21, Chicago, IL 60611-2991 | 2014-06-19 |
| 1174936884 | Raymond Morales | Pediatrics | 1650 W Harrison St, Chicago, IL 60612-3800 | 2014-06-10 |
| 1265875330 | Defne Arslan Magnetta | Pediatrics | 225 E Chicago Ave # 21, Chicago, IL 60611-2991 | 2013-04-09 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.