MARY BETH LEONARD M.D.
NPI 1063402048
Surgery in Berwyn, IL

Active since October 21, 2005
3245 GROVE AVE, BERWYN, IL 60402(708) 484-0621(708) 484-0250 Get Directions Write a Review

NPPES record last updated: March 9, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mary Beth Leonard M.d. NPPES

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

MARY BETH LEONARD M.D. (NPI 1063402048) is an individual surgery provider in Berwyn, Illinois, licensed in Illinois (036-079983) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1063402048
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameMARY BETH LEONARDCredential: M.D.
Location Address3245 GROVE AVEBerwyn, IL 60402-3474
Mailing Address3245 Grove AveBerwyn, IL 60402-3474 · (708) 484-0621 · Fax (708) 484-0250
Fax(708) 484-0250
Sole ProprietorNo
Enumeration DateOctober 21, 2005
Last NPPES UpdateMarch 9, 2011
NPI 1063402048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in IL · 036-079983
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

3245 GROVE AVE, Berwyn, IL 60402

Other Identifiers 9

Other01619787Bcbsil Group Number
Medicare UPINA49101IL
Medicare PIN517410IL
Medicaid036079983IL
Medicare PINK22627IL
Medicare PINCI2940IL
Medicare PINL66791IL
Medicare PIN212474IL
Medicare PIN020040376IL

Other Providers at the Same Location NPPES 14

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

Surgery
3245 GROVE AVE, #202
BERWYN, IL 60402
Internal Medicine (Pulmonary Disease)
3245 GROVE AVE
BERWYN, IL 60402
Social Worker (Clinical)
3245 GROVE AVE, STE 107
BERWYN, IL 60402
Specialist
3245 GROVE AVE
BERWYN, IL 60402
Internal Medicine (Gastroenterology)
3245 GROVE AVE
BERWYN, IL 60402
Social Worker (Clinical)
3245 GROVE AVE
BERWYN, IL 60402
Physiological Laboratory
3245 GROVE AVE, SUITE 104
BERWYN, IL 60402
Surgery
3245 GROVE AVE, SUITE 202
BERWYN, IL 60402

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Leonard's NPI number?

The NPI number for Mary Leonard is 1063402048. It was assigned to this individual provider in the NPPES registry on October 21, 2005.

Where is Mary Leonard located?

Mary Leonard practices at 3245 Grove Ave, Berwyn, IL 60402. The listed phone number is (708) 484-0621.

What is Mary Leonard's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Mary Leonard was last updated on March 9, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.