Organization Active NPI

J & K Pediatrics and Associates, LLC

  • Pediatrics Physician
  • McHenry, IL
National Provider Identifier
1386868404
Registry record updated Jun 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036104503 Issued in IL
Legal business name
J & K PEDIATRICS AND ASSOCIATES, LLC
Practice address
4119 W Shamrock LN
Suite 201
McHenry, IL 60050-8289
Phone
(815) 759-9407
Fax
(815) 759-9475
NPI assigned
Apr 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2008

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

Authorized official

Name
Dr. Joseph Klawitter, MDNPI 1942266952
Title
Physican
Phone
(815) 759-9407

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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 036104503 IL Primary

Addresses

Primary practice location

4119 W Shamrock LN
Suite 201
McHenry, IL 60050-8289

Mailing address

4119 W Shamrock LN
Suite 201
McHenry, IL 60050-8289
Phone (815) 759-9407

National Provider Directory

National Provider Directory

Locations

4119 W Shamrock Ln
Ste 201
McHenry, IL 60050
Phone (815) 759-9407

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": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1386868404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4119 W SHAMROCK LN",
            "address_2": "SUITE 201",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600508289",
            "telephone_number": "815-759-9407",
            "fax_number": "815-759-9475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4119 W SHAMROCK LN",
            "address_2": "SUITE 201",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600508289",
            "telephone_number": "815-759-9407",
            "fax_number": "815-759-9475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J & K PEDIATRICS AND ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "KLAWITTER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PHYSICAN",
        "authorized_official_telephone_number": "815-759-9407",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036104503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McHenry, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; 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.