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NPI Code Detail

MEDICARE: G. LEONE, M.D., S.C.

MEDICARE: G. LEONE, M.D., S.C.
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
1207N00000XDermatology Physician036039808IL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CA4621OTHERILRAILROAD MEDICARE GROUP
2CE1299OTHERILRAILROAD MEDICARE GROUP

General Provider Information

NPI Number : 1770503120
Entity Type Code : Organization
Provider Name (Legal Business Name) : G. LEONE, M.D., S.C.
Provider Business Mailing Address
First Line : 3060 N ARLINGTON HEIGHTS RD
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60004-1530
Country : US
Telephone Number : 847-394-1320
Fax Number : 847-394-3674
Provider Business Practice Location Address
First Line : 3060 N ARLINGTON HEIGHTS RD
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60004-1530
Country : US
Telephone Number : 847-394-1320
Fax Number : 847-394-3674
Authorized Official
Title or Position : OWNER/ PRESIDENT
Name : DR. GIULIO A LEONE
Credential : MD
Telephone Number : 847-394-1320
Provider Enumeration Date : 07/20/2006
Last Update Date : 09/10/2012

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