Vida Pediatrics, LTD.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

VIDA PEDIATRICS, LTD.

Practice address

3124 W 59TH St
Chicago, IL 60629-2504

Phone

(773) 906-5160

Fax

(773) 498-7415

NPI assigned

May 6, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Alejandro Clavier, MD, MPH

Title

President

Phone

(773) 906-5160

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11680/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430870400000",
    "number": "1033596309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3124 W 59TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606292504",
            "telephone_number": "773-906-5160",
            "fax_number": "773-498-7415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3124 W 59TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606292504",
            "telephone_number": "773-906-5160",
            "fax_number": "773-498-7415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA PEDIATRICS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-06",
        "last_updated": "2015-05-06",
        "status": "A",
        "authorized_official_last_name": "CLAVIER",
        "authorized_official_first_name": "ALEJANDRO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-906-5160",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MPH"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victory Pharmacy of Decatur Inc
• Victory Place
• Victory RX, Inc
• Vida Health Wellness, PLLC
• Vida Medical Centers PLLC
• Vida Therapy
• Gabriel Ernest Vida, DDS
• Vidal Therapy PLLC
• Annabella Vidal-Ruiz, PMHNP
• Daniela Michelle Vidal, LCSW

• Pediatrics Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; 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.