Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER ROSE DEFAZIO, M.D.
Active Sole ProprietorJENNIFER ROSE DEFAZIO, M.D. is a Pediatric Surgery healthcare provider located in CHICAGO, Illinois. NPI 1235441429 is currently active in the NPPES registry. Verify at CMS.
Pediatric Surgery · CHICAGO, IL
Registration Details
- NPI Number
- 1235441429
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 5, 2010 (16.124946210467 yrs)
- Last Updated
- Jan 23, 2020
- License
-
288868-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5841 S MARYLAND AVECHICAGO, IL, 606371447Browse IL providers · Browse ZIP 60637
- Phone
- 7737021000
- Primary Specialty
-
Pediatric Surgery
2086S0120X
Other Pediatric Surgery Providers in CHICAGO, IL
| Name | Credential | NPI |
|---|---|---|
| MAX MAIZELS | MD | 1942295878 |
| DR. RICCARDO SUPERINA | MD | 1528053451 |
| MARLETA REYNOLDS | MD | 1336135904 |
| DAVID MCLONE | MD | 1639165061 |
| ANTONIO CHAVIANO | MD | 1467448472 |
| THOM E. LOBE | MD | 1376525550 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.