1. Home
  2. Directory
  3. Illinois
  4. Chicago
  5. Internal Medicine
  6. NPI Profile

MED-PED MEDICAL CENTER SC
NPI 1629641477
Internal Medicine in Chicago, IL

Active since July 20, 2021
5939 W DIVERSEY AVE, CHICAGO, IL 60639(773) 637-1600(773) 637-1520 Get Directions Write a Review

NPPES record last updated: July 20, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Med-ped Medical Center Sc NPPES

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

MED-PED MEDICAL CENTER SC (NPI 1629641477) is a healthcare organization registered as an internal medicine in Chicago, Illinois and active in the NPI registry since July 2021. The organization lists Walter Plasencia, Owner, as its authorized official.

NPPES Registry Identity

NPI1629641477
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMED-PED MEDICAL CENTER SC
Location Address5939 W DIVERSEY AVEChicago, IL 60639-1155
Mailing Address5939 W Diversey AveChicago, IL 60639-1155 · (773) 637-1600 · Fax (773) 637-1520
Phone(773) 637-1600
Fax(773) 637-1520
Organization SubpartNo
Authorized OfficialWalter PlasenciaOwner · (773) 637-1600
Enumeration DateJuly 20, 2021
NPPES CertifiedJuly 20, 2021
✔ NPI 1629641477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
5939 W DIVERSEY AVE, Chicago, IL 60639
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

PLASENCIA PEDIATRICS INC
Pediatrics
5939 W DIVERSEY AVE
CHICAGO, IL 60639
Cook County (773) 637-1600
DR. WALTER RUBEN PLASENCIA M.D.
Internal Medicine
5939 W DIVERSEY AVE
CHICAGO, IL 60639
Cook County (773) 637-1600
VICTOR RAFAEL PLASENCIA M.D.
Pediatrics
5939 W DIVERSEY AVE
CHICAGO, IL 60639
Cook County (773) 637-1600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Med-Ped Medical Center Sc's NPI number?

The NPI number for Med-Ped Medical Center Sc is 1629641477. It was assigned to this organization in the NPPES registry on July 20, 2021.

Where is Med-Ped Medical Center Sc located?

Med-Ped Medical Center Sc is located at 5939 W Diversey Ave, Chicago, IL 60639. The listed phone number is (773) 637-1600.

What is Med-Ped Medical Center Sc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Med-Ped Medical Center Sc was last updated on July 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.