Dr. Andrey Leonov
Pediatrician Allergist & Immunologist Pediatric Allergist and 1 more
2100 Glenwood Ave
Joliet
, Illinois 60435-5487
Dr. Andrey Leonov
Pediatrician Allergist & Immunologist Pediatric Allergist and 1 more
2100 Glenwood Ave
Joliet
, Illinois 60435-5487
(630) 469-2000
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About
Features
Specialties
- Allergist & Immunologist
- Pediatrician
- Pediatric Allergist
Languages spoken
- English
Location
First Address
- Dr. Andrey Leonov
- 1860 Paysphere Cir
- Chicago, IL
- Zip : 60674-0018
- Phone : (630) 469-2000
Second Address
- Dr. Andrey Leonov
- 2100 Glenwood Ave
- Joliet, IL
- Zip : 60435-5487
- Phone : (815) 514-2712
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207K00000X | Allergist & Immunologist | 036-125826 | IL |
| N | 208000000X | Pediatrician | 248493 | NY |
| N | 208000000X | Pediatrician | 25MA08039700 | NJ |
| N | 208000000X | Pediatrician | 35089736 | OH |
| N | 2080P0201X | Pediatric Allergist | 4301107932 | MI |
National Provider Identifier
| NPI | 1043310261 |
|---|---|
| Provider Name | Dr. Andrey Leonov |
| First Address | Chicago, IL 60674-0018 |
| Second Address | Joliet, IL 60435-5487 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/09/2006 |
| Last Update Date | 10/06/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2745373 | (05) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.