J C REYES PEDIATRICS SC (NPI# 1689109704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689109704 |
| Entity Type | Organization |
| Organization Name | J C REYES PEDIATRICS SC |
| Practice Address |
6649 W Archer Ave Suite 400 Chicago IL 60638-2419 |
| Practice Telephone | 7732292373 |
| Practice Fax Number | 7732292376 |
| Mailing Telephone | 7732292373 |
| Mailing Fax Number | 7732292376 |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2017-04-26 |
| Authorized Official Name | DR. JOSELITO C REYES (PRESIDENT/C.E.O.) |
| Authorized Official Telephone | 7732292373 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 036077248 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
6649 W ARCHER AVE SUITE 400 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60638-2419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134120389 | Joselito C Reyes | Pediatrics | 6649 W Archer Ave, Suite 400, Chicago, IL 60638-2419 | 2005-08-09 |
| 1750624581 | Jolene M Quinones | Nurse Practitioner | 6649 W Archer Ave, Chicago, IL 60638-2419 | 2013-03-29 |
| 1144469974 | James Kell | Physician Assistant | 6649 W Archer Ave, Chicago, IL 60638-2419 | 2009-02-18 |
| 1700895224 | Maria L Reyes | Pediatrics | 6649 W Archer Ave, Suite 400, Chicago, IL 60638-2419 | 2006-08-05 |
| 1437101714 | David B. Levy | Family Medicine | 6649 W Archer Ave, Chicago, IL 60638-2419 | 2006-05-16 |
| 1508817727 | Archer Family Medical Group, LLC | Family Medicine | 6649 W Archer Ave, Chicago, IL 60638-2419 | 2006-05-12 |
| 1598716722 | Dorothy Z. Warzocha | Family Medicine | 6649 W Archer Ave, Chicago, IL 60638-2419 | 2006-05-12 |
| 1346291598 | John Terando | Family Medicine | 6649 W Archer Ave, Chicago, IL 60638-2419 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255931952 | Dawid Bula | Pharmacist | 7090 S Cicero Ave, Bedford Park, IL 60638 | 2020-10-30 |
| 1386278430 | Adara Simonelli | Physician Assistant | 6317 S Lorel Avenue, Chicago, IL 60638 | 2020-02-27 |
| 1891343711 | Marie Dipasquale | Technician | 5837 So. Natoma Ave, Chgo, IL 60638 | 2019-09-04 |
| 1316434400 | Ab Dental Professionals LLC | Dentist | 5672 South Archer Avenue, Chicago, IL 60638 | 2018-04-16 |
| 1427563204 | Bethany Elkington | Occupational Therapist | 5764 South Archer Ave, Chicago, IL 60638 | 2017-12-03 |
| 1952759854 | Ismael Gutierrez | Family Medicine | 6084 W Archer Ave, Chicago, IL 60638 | 2016-06-01 |
| 1336533314 | Claude Lucas King | Counselor | 6235 S Major Ave Apt 1, Chicago, IL 60638 | 2015-03-27 |
| 1538594395 | Mohammad Joudeh | Chiropractor | 4844 S Cicero Ave, Chicago, IL 60638 | 2013-09-11 |
| 1548602428 | Clearing Vision Professional Corporation | Optometrist | 5718 W. 63rd St., Chicago, IL 60638 | 2013-07-22 |
| 1184963134 | Raquel Ana Eguia | Physical Therapist | 5658 S. Parkside Ave, Chicago, IL 60638 | 2013-02-12 |
| Find all providers in zip 60638 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1487277596 | Kali Ann Kramolis | Pediatrics | 5841 S Maryland Ave Rm K155, Chicago, IL 60637-1443 | 2020-05-22 |
| 1386272086 | Jane Bialek | Pediatrics | 5841 S Maryland Ave # Mc1502, Chicago, IL 60637-1443 | 2020-03-29 |
| 1164068730 | Alexis Gasiorowski | Pediatrics | 737 N Michigan Ave Ste 870, Chicago, IL 60611-2615 | 2019-11-19 |
| 1265077424 | Vanessa Harvey | Pediatrics | 1620 W Harrison St # 7k, Chicago, IL 60612-3801 | 2019-11-12 |
| 1811458136 | Audrey Zeis | Pediatrics | 5841 S Maryland Ave # Mc8061, Chicago, IL 60637-1443 | 2019-03-28 |
| 1801357470 | Roohie Kaur Poonia | Pediatrics | 5721 S Maryland Ave Unit 1200, Chicago, IL 60637-1425 | 2019-03-27 |
| 1649762931 | Michael Zev Nevid | Pediatrics | Rush Pediatric Care Group, 1645 W. Jackson Blvd, Chicago, IL 60612-3276 | 2018-06-01 |
| 1649787342 | Yi Shao | Pediatrics | 5841 S Maryland Ave # 8016, Chicago, IL 60637-1443 | 2018-01-03 |
| 1992235105 | Vidya Mahavadi | Pediatrics | 5841 S. Maryland Avenue, Mail Code 8016, Chicago, IL 60637 | 2017-06-20 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.