DR. LESLIE A DEAN (NPI# 1316912462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316912462 |
| Entity Type | Individual |
| Full Name | DR. LESLIE A DEAN |
| Other Name | LESLIE A JOHNSON |
| Credential | MD |
| Practice Address |
1511 N Blackhawk Blvd Univ Primary Care Clinic @ Rockton Rockton IL 61072-1513 |
| Mailing Address |
1601 Parkview Ave Credentialing S200 Rockford IL 61107-1822 |
| Practice Telephone | 8156242644 |
| Practice Fax Number | 8156242186 |
| Mailing Telephone | 8153955861 |
| Mailing Fax Number | 8153955575 |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2011-08-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036090988 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | STATE LICENSE | 036090988 | 01 |
| IL | CONTROLLED SUBSTANCE | 336052592 | 01 |
| IL | DEA | BD4739186 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467831750 | Leslie Dean | Case Manager/Care Coordinator | 25 Gap Rd, Batesville, AR 72501-8679 | 2015-05-20 |
| 1487684791 | Leslie P Dean | Orthopaedic Surgery | 3831 Piper St, Suite S-220, Anchorage, AK 99508-4672 | 2006-07-03 |
| Street Address |
1511 N BLACKHAWK BLVD UNIV PRIMARY CARE CLINIC @ ROCKTON |
| City | ROCKTON |
| State | IL |
| Zip Code | 61072-1513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811987886 | Vasil Nika | Family Medicine | 1511 N Blackhawk Blvd, University Primary Care Clinic @ Rockton, Rockton, IL 61072-1513 | 2005-10-21 |
| 1245747971 | Nicole Atanasoff | Nurse Practitioner | 1511 N Blackhawk Blvd, Rockton, IL 61072-1513 | 2018-01-03 |
| 1588964712 | Carole J Eatock | Nurse Practitioner | 1511 N Blackhawk Blvd, Rockton, IL 61072-1513 | 2010-10-21 |
| 1952348831 | Board of Trustees of The University of Illinois | Family Medicine | 1511 N Blackhawk Blvd, Rockton, IL 61072-1513 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750822649 | Brianna Helene Jensen | Specialist/Technologist | 11746 Deacon Dr, Rockton, IL 61072 | 2017-03-13 |
| 1891085767 | James Adrian Fogarty | Psychologist | 122 S. Prairie St. Suite A, Rockton, IL 61072 | 2011-04-13 |
| 1871623447 | Wal-mart Stores, Inc Dba Wal-mart | Technician/Technologist | 4781 E. Rockton Rd., Rockton, IL 61072 | 2007-03-06 |
| 1215070487 | Shelly L Patchett | Social Worker | 1107 N Blackhawk Blvd, Suite 8, Rockton, IL 61072-1500 | 2007-02-15 |
| 1245301472 | Brandi M Lander | Counselor | 1107 N. Blackhawk Blvd, Suite 8, Rockton, IL 61072-1500 | 2006-11-10 |
| 1033551320 | Stateline Counseling Services LLC | Social Worker | 1107 N Blackhawk Blvd, Suite 8, Rockton, IL 61072-1500 | 2013-07-26 |
| 1215251061 | Kathleen Beth Mcguire | Counselor | 1116 Cannell Ct, Rockton, IL 61072-1551 | 2010-03-23 |
| 1467869883 | Crissymartinez Martinez | Registered Nurse | 603 Queens Ct, Rockton, IL 61072-1608 | 2014-07-17 |
| 1124220686 | Rockton School District 140 | Local Education Agency (LEA) | 1050 E Union St, Rockton, IL 61072-1628 | 2007-06-05 |
| 1851805907 | Laura Erwin | Speech-Language Pathologist | 1050 E Union St, Rockton, IL 61072-1628 | 2017-11-28 |
| Find all providers in zip 61072 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811987886 | Vasil Nika | Family Medicine | 1511 N Blackhawk Blvd, University Primary Care Clinic @ Rockton, Rockton, IL 61072-1513 | 2005-10-21 |
| 1952348831 | Board of Trustees of The University of Illinois | Family Medicine | 1511 N Blackhawk Blvd, Rockton, IL 61072-1513 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911495 | Moataz Barkat | Family Medicine | 3315 W 66th Pl, Chicago, IL 60629-3427 | 2020-10-26 |
| 1558969964 | Nicole Kerner | Family Medicine | 310 Brandy Dr, Mackinaw, IL 61755-9707 | 2020-10-16 |
| 1285232991 | Healthy Medical Inc | Family Medicine | 535 N. East St., Suite A, Bradley, IL 60915 | 2020-10-14 |
| 1558976589 | Jasmine Ashley Fowler | Family Medicine | 2416 N Lotus Ave, Chicago, IL 60639-1435 | 2020-09-15 |
| 1790390805 | Kimberly Hannah Kupferberg | Family Medicine | 1103 Schaeffer Rd, Long Grove, IL 60047-5153 | 2020-09-15 |
| 1194330977 | Home Doctors for You | Family Medicine | 670 Illinois Blvd, Hoffman Est, IL 60169-3363 | 2020-09-09 |
| 1245844489 | Jovita Zalwango Nassolo | Family Medicine | 116 1/2 N Benton St Apt 2d, Woodstock, IL 60098-3272 | 2020-09-04 |
| 1720699176 | Healing Hands Resource Center Streator | Family Medicine | 2128 S Central Park Ave, Chicago, IL 60623-3113 | 2020-08-10 |
| 1417565755 | Ghr Total Health and Consulting | Family Medicine | 11336 Mckenna Dr, Frankfort, IL 60423-8096 | 2020-07-22 |
| 1285251892 | Soe Lwin Oo | Family Medicine | 1625 E 75th St # 1, Chicago, IL 60649-3603 | 2020-06-30 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. LESLIE A DEAN.
| 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.