Active NPI
Mpower Wellness LLC
- Pediatric Obesity Medicine Physician
- Evanston, IL
National Provider Identifier
1649066895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Obesity Medicine Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jennifer Ann Perez, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Obesity Medicine Physician | 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 DirectoryLocations
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.
-
- Pediatrics Physician
- Chicago, IL
- NPI 1689830077
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.