JENNIFER LIEDEL MD
NPI 1336299379
Pediatrics - Pediatric Critical Care Medicine in Burr Ridge, IL

Q: What is Jennifer Liedel's NPI number?

The NPI number for Jennifer Liedel is 1336299379. It was assigned to this individual provider in the NPPES registry on January 11, 2007.

Q: What is Jennifer Liedel's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Liedel was last updated on January 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 11, 2007PECOS EnrolledAccepts Medicare Assignment

180 HARVESTER DR STE 110, BURR RIDGE, IL 60527(773) 834-4064 Get Directions Write a Review

NPPES record last updated: January 31, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jennifer Liedel Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER LIEDEL MD (NPI 1336299379) is an individual pediatric critical care medicine provider in Burr Ridge, Illinois, licensed in Illinois (036102039) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Northwestern University Feinberg Medical School (1997).

NPPES Registry Identity

NPI1336299379

Entity TypeIndividualFemale

Primary Taxonomy2080P0203X

Provider Legal NameJENNIFER LIEDELCredential: MD

Location Address180 HARVESTER DR STE 110Burr Ridge, IL 60527-6686

Mailing Address10140 Centurion Pkwy NJacksonville, FL 32256-0532 · (904) 697-4127 · Fax (904) 697-5102

Phone(773) 834-4064

Sole ProprietorNo

Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1997

Enumeration DateJanuary 11, 2007

Last NPPES UpdateJanuary 31, 2019

✔ NPI 1336299379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in IL · 036102039

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

180 HARVESTER DR STE 110, Burr Ridge, IL 60527

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Other Identifiers 1

Medicaid036102039IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jennifer Liedel Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547215766

PECOS Enrollment IDI20190213002906

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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