Nicholas Roger Leroy in Chicago - Internist
Nicholas Roger Leroy - NPI 1720120876
Nicholas Roger Leroy is a Internist in Chicago, Illinois. Nicholas Roger Leroy practices all healthcare services and medical treatments related to Internist. The NPI Number for Nicholas Roger Leroy is 1720120876. The last update date is 2010-06-30.
Nicholas Roger Leroy's current location address is 1002 W. Lake Street, Chicago, Illinois. You can contact this provider via phone number 3122433338. The mailing address for Nicholas Roger Leroy is 1002 W. Lake Street, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nicholas Roger Leroy |
|---|---|
| Address | 1002 W. Lake Street, Chicago, Illinois |
| Phone Number | 3122433338 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1720120876 |
|---|---|
| Provider Enumeration Date | 2007-02-13 |
| Last Updated Date | 2010-06-30 |
Provider Mailing Address Detail
| Address | 1002 W. Lake Street |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 60607 |
| Phone Number | 3122433338 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Internist |
|---|---|
| Taxonomy | 111Ni0900X |
| Licence No | 038-007739 |
|
Definition: The chiropractic internist may serve as a primary care physician or may see patients referred from other providers for evaluation and co-management. Evaluation is focused on the early detection of functional, nutritional, and pathological disorders. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1607135 | IL | BCBS | |
| 457811 | WI | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique provider identifier assigned to Nicholas Roger Leroy?
The Nicholas Roger Leroy has been issued the NPI (National Provider Identifier) 1720120876 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Nicholas Roger Leroy is physically located?
The Nicholas Roger Leroy is physically situated at the following address: 1002 W. Lake Street, Chicago, IL, 60607.
What is Nicholas Roger Leroy's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Nicholas Roger Leroy's specialized field of practice is Internist, and the corresponding taxonomy code that categorizes this area of specialization is 111Ni0900X.
On what date was the 1720120876 assigned to Nicholas Roger Leroy?
The Nicholas Roger Leroy was issued its 1720120876 on 2007-02-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Nicholas Roger Leroy, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Nicholas Roger Leroy, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-06-30.
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