NPIMap

Organization Active NPI

Center for Autonomic Medicine in Pediatrics

  • Neonatal-Perinatal Medicine Physician
  • Chicago, IL
National Provider Identifier
1023294519
Registry record updated Jan 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
Legal business name
CENTER FOR AUTONOMIC MEDICINE IN PEDIATRICS
Practice address
2300 N Childrens PLZ # 64
Chicago, IL 60614-3363
Phone
(312) 573-4515
Fax
(312) 573-8405
NPI assigned
Jan 14, 2008
Organization subpart
Yes
Parent organization
PEDIATRIC FACULTY FOUNDATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 14, 2008

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

Authorized official

Name
Lisa Lenz
Title
Director
Phone
(312) 573-4515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080N0001X Primary

Addresses

Primary practice location

2300 N Childrens PLZ # 64
Chicago, IL 60614-3363

Mailing address

2300 N Childrens PLZ # 64
Chicago, IL 60614-3363
Phone (312) 573-4515

National Provider Directory

National Provider Directory
Part of
Pediatric Faculty Found

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200268800000",
    "number": "1023294519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 N CHILDRENS PLZ # 64",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606143363",
            "telephone_number": "312-573-4515",
            "fax_number": "312-573-8405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 N CHILDRENS PLZ # 64",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606143363",
            "telephone_number": "312-573-4515",
            "fax_number": "312-573-8405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR AUTONOMIC MEDICINE IN PEDIATRICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEDIATRIC FACULTY FOUNDATION",
        "enumeration_date": "2008-01-14",
        "last_updated": "2008-01-14",
        "status": "A",
        "authorized_official_last_name": "LENZ",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "312-573-4515"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; 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.