Organization Active NPI

Fairview Pediatrics LLC

  • Pediatrics Physician
  • Grayslake, IL
National Provider Identifier
1194941757
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
FAIRVIEW PEDIATRICS LLC
Practice address
1475 E Belvidere Rd
Suite 315
Grayslake, IL 60030-2016
Phone
(847) 548-8777
Fax
(847) 548-8899
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Janice Marie Krakora-Looby, MDNPI 1902898836
Title
Member
Phone
(847) 548-8777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary
Clinical Medical Laboratory 291U00000X

Addresses

Primary practice location

1475 E Belvidere Rd
Suite 315
Grayslake, IL 60030-2016

Mailing address

1475 E Belvidere Rd
Suite 315
Grayslake, IL 60030-2016
Phone (847) 548-8777

National Provider Directory

National Provider Directory

Locations

1475 E Belvidere Rd
Ste 315
Grayslake, IL 60030
Phone (847) 548-8777

Practitioners & affiliated clinicians

Practitioners 2

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": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1194941757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 E BELVIDERE RD",
            "address_2": "SUITE 315",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600302016",
            "telephone_number": "847-548-8777",
            "fax_number": "847-548-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 E BELVIDERE RD",
            "address_2": "SUITE 315",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600302016",
            "telephone_number": "847-548-8777",
            "fax_number": "847-548-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRVIEW PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "KRAKORA-LOOBY",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "847-548-8777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grayslake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.