KENDALL DIVANTE LEONARD
NPI 1245864784
Contractor in Glenwood, IL

Active since February 24, 2020
524 N ROBERTS DR APT 2B, GLENWOOD, IL 60425(708) 690-4333 Get Directions Write a Review

NPPES record last updated: February 24, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kendall Divante Leonard NPPES

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

KENDALL DIVANTE LEONARD (NPI 1245864784) is an individual contractor provider in Glenwood, Illinois, licensed in Illinois (V00018705) and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1245864784
Entity TypeIndividualMale
Primary Taxonomy171W00000X
Provider Legal NameKENDALL DIVANTE LEONARD
Location Address524 N ROBERTS DR APT 2BGlenwood, IL 60425-2300
Mailing Address3646 147th Pl Apt GnMidlothian, IL 60445-3590 · (708) 690-4333
Sole ProprietorYes
Enumeration DateFebruary 24, 2020
NPI 1245864784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyContractorOther Service Providers
Taxonomy Code171W00000X
License Licensed in IL · V00018705
Definition
For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status.
524 N ROBERTS DR APT 2B, Glenwood, IL 60425

Other Identifiers 1

Medicaid11295611761IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Kendall Leonard's NPI number?

The NPI number for Kendall Leonard is 1245864784. It was assigned to this individual provider in the NPPES registry on February 24, 2020.

Where is Kendall Leonard located?

Kendall Leonard practices at 524 N Roberts Dr Apt 2B, Glenwood, IL 60425. The listed phone number is (708) 690-4333.

What is Kendall Leonard's specialty?

The primary specialty registered for this NPI is Contractor with taxonomy code 171W00000X.

When was this NPI record last updated?

The NPPES record for Kendall Leonard was last updated on February 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.