NPIMap

Organization Active NPI

Pef Clinic II LTD

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1245542356
Registry record updated Jul 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
042-617358 Issued in IL
Legal business name
PEF CLINIC II LTD
Practice address
2850 S Wabash Ave
Suite 203
Chicago, IL 60616-2955
Phone
(312) 808-0621
NPI assigned
Jul 6, 2010
Last updated
Jul 6, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
PEF CLINIC II LTDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 6, 2010

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

Authorized official

Name
Dr. Peter E Friedell, M. D.NPI 1356360531
Title
President
Phone
(773) 947-2828

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 042-617358 IL Primary
Internal Medicine Physician 207R00000X 042-617358 IL
Hematology & Oncology Physician 207RH0003X 042-617358 IL
Obstetrics & Gynecology Physician 207V00000X 042-617358 IL
Pediatrics Physician 208000000X 042-617358 IL
Surgery Physician 208600000X 042-617358 IL

Addresses

Primary practice location

2850 S Wabash Ave
Suite 203
Chicago, IL 60616-2955

Mailing address

7531 S Stony Island Ave
Chicago, IL 60649-3954
Phone (773) 947-7760

National Provider Directory

National Provider Directory
Tax ID family
South Shore School of Leadership Health Center3 organizations share this tax ID, including this one
Part of
South Shore School of Leadership Health Center

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1278374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278374400000",
    "number": "1245542356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7531 S STONY ISLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606493954",
            "telephone_number": "773-947-7760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 S WABASH AVE",
            "address_2": "SUITE 203",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162955",
            "telephone_number": "312-808-0621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEF CLINIC II LTD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEF CLINIC II LTD",
        "enumeration_date": "2010-07-06",
        "last_updated": "2010-07-06",
        "status": "A",
        "authorized_official_last_name": "FRIEDELL",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-947-2828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "042-617358",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "042-617358",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IL",
            "license": "042-617358",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "042-617358",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "042-617358",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "042-617358",
            "primary": false
        }
    ],
    "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 Jul 6, 2010; 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.