MEDICARE: ARIEL LEIFER M.D.

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	207Q00000X	Family Medicine Physician	036132189	IL

General Provider Information

NPI Number	:	1891015004
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARIEL LEIFER M.D.

Provider Business Mailing Address
First Line	:	1300 W BELMONT AVE STE 100
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-3200
Country	:	US
Telephone Number	:	773-975-8900
Fax Number	:	773-975-8901

Provider Business Practice Location Address
First Line	:	1300 W BELMONT AVE STE 100
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-3200
Country	:	US
Telephone Number	:	773-975-8900
Fax Number	:	773-975-8901

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

Provider Enumeration Date	:	06/10/2010
Last Update Date	:	01/12/2026

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