Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1205138997 Deactivated / Inactive NPI Male Practitioner

Dr. Jan Edward Leestma , MD

Pathology - Neuropathology • Chicago, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jan Leestma has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 01, 2010
NPI Deactivation Date January 26, 2021
Total Practice Duration ~11 Years of Practice (2010 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Jan Leestma, MD was a registered Pathology - Neuropathology practicing in Chicago, IL. Throughout an active medical career spanning 11 years, Dr. Leestma provided care at the practice location at 1440 N KINGSBURY ST until profile deactivation on 2021-01-26.

Practice Location & Contact Primary Location

Practice Address

1440 N Kingsbury St
Suite 210

Chicago, IL 606422651

Telephone 3129882500
Fax 3129887257

Specialty Benchmarks & Practice Insights

Comparative analytics for Pathology - Neuropathology in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 27.4 Yrs
State Avg: 32.7 Yrs
Regional Practice Density
11 Specialists

Practicing in Chicago, IL (15 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pathology - Neuropathology Primary Specialty

NUCC Taxonomy Code: 207ZN0500X

State License IL 036.044272

A neuropathologist is expert in the diagnosis of diseases of the nervous system and skeletal muscles and functions as a consultant primarily to neurologists and neurosurgeons. The neuropathologist is knowledgeable in the infirmities of humans as they affect the nervous and neuromuscular systems, be they degenerative, infectious, metabolic, immunologic, neoplastic, vascular or physical in nature.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Essies Nagra , LPC

Counselor - Mental Health

NPI 1003441205

Licensed Professional Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 26, 2021

Record deactivated on January 26, 2021

NPI Profile Active December 01, 2010

NPI status registered as active in NPPES database

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Updated Practice Location December 01, 2010

Registered at 1440 N KINGSBURY ST, SUITE 210, CHICAGO, IL 606422651 (Tel: 3129882500)

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Updated Business Mailing Address December 01, 2010

Registered at 1440 N KINGSBURY ST, SUITE 210, CHICAGO, IL 606422651 (Tel: 3129882500)

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Provider Name / Credentials Updated December 01, 2010

Recorded as JAN LEESTMA, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 01, 2010

Pathology (License #036.044272 in IL)

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Initial NPI Registration & Enumeration December 01, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205138997
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 01, 2010
Last Update: December 01, 2010
Deactivation Date: January 26, 2021

Mailing Address

1440 N Kingsbury St, Suite 210

Chicago, IL 606422651

Phone: 3129882500

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.