Organization Active NPI

Mpower Wellness LLC

  • Pediatric Obesity Medicine Physician
  • Evanston, IL
National Provider Identifier
1649066895
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Obesity Medicine PhysicianTaxonomy code 2080B0002X
Legal business name
MPOWER WELLNESS LLC
Practice address
3423 Church St
Evanston, IL 60203-1714
Phone
(773) 500-3650
Fax
(773) 284-6290
NPI assigned
Apr 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Authorized official

Name
Dr. Jennifer Ann Perez, MDNPI 1689830077
Title
Chief Medical Officer
Phone
(847) 951-5139

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
Pediatric Obesity Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080B0002X Primary

Addresses

Primary practice location

3423 Church St
Evanston, IL 60203-1714

Mailing address

3223 Lake Ave Ste 15C
Wilmette, IL 60091-1069
Phone (847) 951-5139

National Provider Directory

National Provider Directory

Locations

3423 Church St
Evanston, IL 60203
Phone (773) 500-3650

3223 Lake Ave
Ste 15C
Wilmette, IL 60091

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": "1744675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780444800000",
    "number": "1649066895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3223 LAKE AVE STE 15C",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600911069",
            "telephone_number": "847-951-5139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3423 CHURCH ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602031714",
            "telephone_number": "773-500-3650",
            "fax_number": "773-284-6290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MPOWER WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-15",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "847-951-5139",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080B0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; 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.