MEDICARE: DR. JAMES P LEONARD MD

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	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	036130794	IL

General Provider Information

NPI Number	:	1710154331
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES P LEONARD MD

Provider Business Mailing Address
First Line	:	10719 160TH ST
Second Line	:
City	:	ORLAND PARK
State	:	IL
Zip	:	60467-5541
Country	:	US
Telephone Number	:	708-288-4269
Fax Number	:

Provider Business Practice Location Address
First Line	:	4220 W 95TH ST STE 100
Second Line	:
City	:	OAK LAWN
State	:	IL
Zip	:	60453-3072
Country	:	US
Telephone Number	:	708-226-3300
Fax Number	:	708-226-3500

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

Provider Enumeration Date	:	05/13/2008
Last Update Date	:	12/16/2024

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