HENRY J LIEDL
NPI 1013618347
Student in an Organized Health Care Education/Training Program in Chicago, IL

Active since March 14, 2023PECOS Enrolled
5700 S MARYLAND AVE, CHICAGO, IL 60637(888) 824-0200 Get Directions Write a Review

NPPES record last updated: March 14, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Henry J Liedl NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HENRY J LIEDL (NPI 1013618347) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013618347
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameHENRY J LIEDL
Location Address5700 S MARYLAND AVEChicago, IL 60637-1426
Mailing Address924 E 57th St Ste 104Chicago, IL 60637-1455
Sole ProprietorNo
Enumeration DateMarch 14, 2023
NPPES CertifiedMarch 14, 2023
NPI 1013618347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

5700 S MARYLAND AVE, Chicago, IL 60637

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Henry J Liedl is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
5700 S MARYLAND AVE
CHICAGO, IL 60637
Nurse Practitioner (Family)
5700 S MARYLAND AVE
CHICAGO, IL 60637
Nurse Practitioner
5700 S MARYLAND AVE
CHICAGO, IL 60637
Nurse Practitioner (Family)
5700 S MARYLAND AVE
CHICAGO, IL 60637
Nurse Practitioner (Family)
5700 S MARYLAND AVE
CHICAGO, IL 60637
Nurse Practitioner (Family)
5700 S MARYLAND AVE
CHICAGO, IL 60637
Physician Assistant
5700 S MARYLAND AVE
CHICAGO, IL 60637
Nurse Practitioner
5700 S MARYLAND AVE
CHICAGO, IL 60637

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013618347, enumerated as an "individual" on March 14, 2023.

The provider is located at 5700 S MARYLAND AVE CHICAGO, IL 60637 and the phone number is (888) 824-0200.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.