MEDICARE: BARRETT LEONHARD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1679415350
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARRETT LEONHARD

Provider Business Mailing Address
First Line	:	1601 W SCHOOL ST APT 313
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-2194
Country	:	US
Telephone Number	:	504-451-3800
Fax Number	:

Provider Business Practice Location Address
First Line	:	1601 W SCHOOL ST APT 313
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-2194
Country	:	US
Telephone Number	:	504-451-3800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/09/2026
Last Update Date	:	04/09/2026

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Directions to “ BARRETT LEONHARD ” Practice Location

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