Organization Active NPI

Pedro Lopez, M.D., LTD

  • General Practice Physician
  • Chicago, IL
National Provider Identifier
1144429671
Registry record updated Nov 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
PEDRO LOPEZ, M.D., LTD
Practice address
5525 S Pulaski Rd
Chicago, IL 60629-4417
Phone
(773) 585-1955
NPI assigned
Jul 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2012

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

Authorized official

Name
James Huntenburg
Title
Billing MGR
Phone
(630) 665-8047

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

5525 S Pulaski Rd
Chicago, IL 60629-4417

Mailing address

PO Box 3176
Glen Ellyn, IL 60138-3176
Phone (630) 665-8047

National Provider Directory

National Provider Directory

Locations

4122 W 26th St
Chicago, IL 60623
Phone (773) 521-2080

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352419200000",
    "number": "1144429671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3176",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601383176",
            "telephone_number": "630-665-8047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 S PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606294417",
            "telephone_number": "773-585-1955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDRO LOPEZ, M.D., LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-14",
        "last_updated": "2012-11-09",
        "status": "A",
        "authorized_official_last_name": "HUNTENBURG",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "BILLING MGR",
        "authorized_official_telephone_number": "630-665-8047"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "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 Nov 9, 2012; 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.