Provider Demographics
NPI:1932373107
Name:MP PEDIATRICS
Entity Type:Organization
Organization Name:MP PEDIATRICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:A
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:773-284-6270
Mailing Address - Street 1:5525 S PULASKI RD
Mailing Address - Street 2:SUITE 2400
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60629-4417
Mailing Address - Country:US
Mailing Address - Phone:773-284-6270
Mailing Address - Fax:773-284-6290
Practice Address - Street 1:5525 S PULASKI RD
Practice Address - Street 2:SUITE 2400
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60629-4417
Practice Address - Country:US
Practice Address - Phone:773-284-6270
Practice Address - Fax:773-284-6290
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-17
Last Update Date:2019-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty