JACK C LEONG MD SC
NPI 1437357480
Clinic/Center - Primary Care in Chicago, IL

Active since July 10, 2007
3000 N CICERO AVE, CHICAGO, IL 60641(773) 282-3115(773) 282-0590 Get Directions Write a Review

NPPES record last updated: October 20, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jack C Leong Md Sc NPPES

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

JACK C LEONG MD SC (NPI 1437357480) is a healthcare organization registered as a primary care in Chicago, Illinois and active in the NPI registry since July 2007. The organization lists Jack C Leong, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1437357480
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameJACK C LEONG MD SC
Location Address3000 N CICERO AVEChicago, IL 60641-5106
Mailing Address3000 N Cicero AveChicago, IL 60641-5106 · (773) 282-3115 · Fax (773) 282-0590
Fax(773) 282-0590
Organization SubpartNo
Authorized OfficialJack C LeongMedical Director · (773) 282-3115
Enumeration DateJuly 10, 2007
Last NPPES UpdateOctober 20, 2020
NPPES CertifiedOctober 20, 2020
✔ NPI 1437357480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in IL · 036070436
3000 N CICERO AVE, Chicago, IL 60641

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jack C Leong Md Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jack C Leong MD Sc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Pediatric Medicine
NPI 1174506513
3000 N CICERO AVE
Chicago, IL 60641
(773) 282-3115
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jack C Leong MD Sc's NPI number?

The NPI number for Jack C Leong MD Sc is 1437357480. It was assigned to this organization in the NPPES registry on July 10, 2007.

Where is Jack C Leong MD Sc located?

Jack C Leong MD Sc is located at 3000 N Cicero Ave, Chicago, IL 60641. The listed phone number is (773) 282-3115.

What is Jack C Leong MD Sc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Jack C Leong MD Sc enrolled in Medicare?

Yes. Jack C Leong MD Sc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jack C Leong MD Sc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pediatric Medicine) reassigns their Medicare billing to Jack C Leong MD Sc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jack C Leong MD Sc was last updated on October 20, 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.