Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Leavitt Healthcare and Diagnostic Inc

Organization Family Medicine Physician · NPI 1679853188

Leavitt Healthcare and Diagnostic Inc provides Family Medicine Physician services in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2011.

Licensed in
IL
In the registry since
2011
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2158 W Grand Ave Ste 102
Chicago, IL 60612-1571 Not confirmed with CMS for 15 years — call before visiting
Phone: (312) 733-0901
Fax: (312) 733-0917
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036046113 (IL)

Record details

NPI number1679853188
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Hatem Galal — Owner · (312) 733-0901
NPI enumeratedAugust 29, 2011
Last updated in NPPESAugust 29, 2011
Mailing address2158 W Grand Ave, Suite 102, Chicago, IL 60612-1571

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