Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Leavitt Healthcare and Diagnostic Inc

Organization Family Medicine Physician · NPI 1679853188

Leavitt Healthcare and Diagnostic Inc is a Family Medicine Physician 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
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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