Active NPI
Plasencia Pediatrics Inc
- Pediatrics Physician
- Chicago, IL
National Provider Identifier
1356109300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- PLASENCIA PEDIATRICS INC
- Practice address
- 5939 W Diversey Ave
Chicago, IL 60639-1155 - Phone
- (773) 637-1600
- Fax
- (773) 637-1520
- NPI assigned
- Mar 13, 2024
- Last updated
- Jun 18, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Victor Rafael Plasencia, MD
- Title
- Ceo
- Phone
- (847) 691-1407
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
5939 W Diversey Ave
Chicago, IL 60639-1155
Mailing address
5939 W Diversey Ave
Chicago, IL 60639-1155
Phone (773) 637-1600
National Provider Directory
National Provider DirectoryLocations
5939 W Diversey Ave
Chicago, IL 60639
Phone (773) 637-1600
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1497715908
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710288000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750204800000",
"number": "1356109300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5939 W DIVERSEY AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606391155",
"telephone_number": "773-637-1600",
"fax_number": "773-637-1520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5939 W DIVERSEY AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606391155",
"telephone_number": "773-637-1600",
"fax_number": "773-637-1520"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLASENCIA PEDIATRICS INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-13",
"last_updated": "2025-06-18",
"certification_date": "2025-06-18",
"status": "A",
"authorized_official_last_name": "PLASENCIA",
"authorized_official_first_name": "VICTOR",
"authorized_official_middle_name": "RAFAEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "847-691-1407",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
- Planting Seeds Therapy, P.C.
- Plantz Psychotherapy PLLC (Ashley Plantz)
- Ashley Plantz, LCSW
- Anaid Plascencia Banuet, LSW
- Silvia Estefania Plascencia Oliveros, MD
- Victor Rafael Plasencia, M.D.
- Walter Ruben Plasencia, M.D.
- Sarah Martin Plaskett, PA
- Heather D Plastaras, PSY.D.
- Plastic Surgery Chicago, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.