J W Muscadin MD Pediatric Services Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036-063960 Issued in IL

Legal business name

J W MUSCADIN MD PEDIATRIC SERVICES INC

Practice address

326 W 64TH St Ste 303
Chicago, IL 60621-3114

Phone

(773) 874-3005

Fax

(773) 962-4638

NPI assigned

Mar 11, 2009

Organization subpart

No

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

Authorized official

Name

Jean-Wilson Muscadin, MD

Title

Physician

Phone

(773) 874-3005

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1236729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236729600000",
    "number": "1962643502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 W 64TH ST STE 303",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606213114",
            "telephone_number": "773-874-3005",
            "fax_number": "773-962-4638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 W 64TH ST STE 303",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606213114",
            "telephone_number": "773-874-3005",
            "fax_number": "773-962-4638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J W MUSCADIN MD PEDIATRIC SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-11",
        "last_updated": "2009-03-11",
        "status": "A",
        "authorized_official_last_name": "MUSCADIN",
        "authorized_official_first_name": "JEAN-WILSON",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "773-874-3005",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036-063960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Mar 11, 2009; 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.