Organization Active NPI

J C Reyes Pediatrics SC

  • Pediatrics Physician
  • Chicago, IL
National Provider Identifier
1689109704
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036077248 Issued in IL
Legal business name
J C REYES PEDIATRICS SC
Practice address
6745 W 63Rd St
Chicago, IL 60638-4003
Phone
(773) 229-2373
Fax
(773) 229-2376
NPI assigned
Apr 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Authorized official

Name
Dr. Joselito C Reyes, M.D.NPI 1134120389
Title
President/C.E.O.
Phone
(773) 229-2373

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 036077248 IL Primary

Addresses

Primary practice location

6745 W 63Rd St
Chicago, IL 60638-4003

Mailing address

6745 W 63Rd St
Chicago, IL 60638-4003
Phone (773) 229-2373

National Provider Directory

National Provider Directory

Locations

6649 W Archer Ave
Ste 400
Chicago, IL 60638
Phone (773) 229-2373

7000 W Archer Ave
Chicago, IL 60638
Phone (773) 229-2373

Practitioners & affiliated clinicians

Practitioners 3

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": "1493164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746403200000",
    "number": "1689109704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6745 W 63RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606384003",
            "telephone_number": "773-229-2373",
            "fax_number": "773-229-2376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6745 W 63RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606384003",
            "telephone_number": "773-229-2373",
            "fax_number": "773-229-2376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J C REYES PEDIATRICS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-26",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "JOSELITO",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT/C.E.O.",
        "authorized_official_telephone_number": "773-229-2373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036077248",
            "primary": true
        }
    ],
    "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 May 5, 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.

Verify at the official NPI Registry.