Victor Rafael Plasencia, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

03112680 Issued in IL

Practice address

5939 W Diversey Ave
Chicago, IL 60639-1155

Phone

(773) 637-1600

Fax

(773) 637-2733

NPI assigned

Nov 16, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Plasencia Pediatrics Inc

  • Pediatrics Physician
  • Chicago, IL
  • NPI 1356109300

  Single Specialty

  NPD Authorized official
• Med-Ped Medical Center SC

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1629641477

  Single Specialty

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1801077094",
    "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": "773-637-2733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLASENCIA",
        "first_name": "VICTOR",
        "middle_name": "RAFAEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-16",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "03112680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Plantz Psychotherapy PLLC
• Ashley Plantz, LCSW
• Anaid Plascencia Banuet, LSW
• Silvia Estefania Plascencia Oliveros, MD
• Plasencia Pediatrics Inc
• Walter Ruben Plasencia, M.D.
• Sarah Martin Plaskett, PA
• Heather D Plastaras, PSY.D.
• Plastic Surgery Chicago, LLC
• Plastic Surgery Clinic of Chicago LLC

• Pediatrics Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Pediatrics Physician in Illinois

• 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.

Verify at the official NPI Registry.