Individual
LEONARD POTEMPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5201 WILLOW SPRINGS RD, SUITE 260, LA GRANGE HIGHLANDS, IL 60525-6537
(708) 354-1306
(708) 354-1538
Mailing address
120 W 22ND ST STE 200, OAK BROOK, IL 60523-1563
(630) 573-5000
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
036066846
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03666846
—
IL
01
—
110095959
RR MEDICARE INDIVIDUAL
IL
01
—
1616108
BCBS
IL
01
—
C30486
RR MEDICARE GROUP
IL
Enumeration date
07/07/2005
Last updated
04/29/2025
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