Individual
KIM CECILIA LEUNG-STONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2501 COMPASS RD, SUITE 100, GLENVIEW, IL 60026-8000
(847) 901-5200
(847) 904-4917
Mailing address
2501 COMPASS RD, STE 100, GLENVIEW, IL 60026-8000
(847) 901-5200
(847) 904-4917
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
036070938
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0031601962
BCBS PROVIDER #
IL
01
—
1912186024
GROUP NPI
—
01
—
216024
MEDICARE GROUP PTAN
—
01
—
261093600
TAXID/FEIN
IL
01
—
DG9897
RAILROAD MEDICARE GROUP NUMBER
GA
01
—
K48469
MEDICARE PTAN
IL
01
—
P00465920
RAILROAD MEDICARE PTAN
—
Enumeration date
12/07/2005
Last updated
03/23/2015
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