Individual provider Active NPI

Alejandro Clavier

  • Pediatrics Physician
  • Chicago, IL
National Provider Identifier
1083623425
Registry record updated May 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036107443 Issued in IL
Practice address
3124 W 59TH St
Chicago, IL 60629-2504
Phone
(773) 906-5160
Fax
(773) 498-7415
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036107443 IL Primary

Addresses

Primary practice location

3124 W 59TH St
Chicago, IL 60629-2504

Mailing address

3124 W 59TH St
Chicago, IL 60629-2504
Phone (773) 906-5160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036107443ILMDPediatrics Physician

Interoperability endpoints

  • Direct secure messaging: alejandro.clavier.1@11903.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431475200000",
    "number": "1083623425",
    "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": {
        "last_name": "CLAVIER",
        "first_name": "ALEJANDRO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2015-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036107443",
            "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 May 13, 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.