Pilsen Pediatrics

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036067950 Issued in IL

Legal business name

PILSEN PEDIATRICS

Practice address

1952 W Cermak Rd
Chicago, IL 60608-4204

Phone

(773) 254-6611

Fax

(773) 254-8590

NPI assigned

May 4, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mahendra H Parekh, MD

Title

Owner

Phone

(773) 254-6611

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1241395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241395200000",
    "number": "1003040130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1952 W CERMAK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606084204",
            "telephone_number": "773-254-6611",
            "fax_number": "773-254-8590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1952 W CERMAK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606084204",
            "telephone_number": "773-254-6611",
            "fax_number": "773-254-8590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PILSEN PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-04",
        "last_updated": "2009-05-04",
        "status": "A",
        "authorized_official_last_name": "PAREKH",
        "authorized_official_first_name": "MAHENDRA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-254-6611",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036067950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036067950",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pilsen Little Village Community Mental Health Center
• Pilsen Little Village Community Mental Health Center
• Pilsen Little Village Community Mental Health Center, Inc.
• Pilsen Little Village Mental Health Center
• Pilsen Little Village Mental Health Center
• Pilsen Pharmacy
• Pilsen Psychiatric Clinic & Associates LLC
• Pilsen Psychiatric Clinic & Associates, LLC
• Pilsen-Little Village Community Mental Health Center, Inc
• Pilsen-Little Village Community Mental Health Center, Inc

• Family Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.