Individual provider · Type 1 NPI

Jennifer Rose Defazio, MD

Pediatric Surgery Physician · Chicago, IL

NPI number 1235441429 Active

Practice location

5841 S Maryland Ave
Chicago, IL 60637-1447

Call (773) 702-1000 Map

Mailing address

3959 Broadway Rm 216B
New York, NY 10032-1559

Specialties and licenses

TaxonomyCodeLicense
Pediatric Surgery Physician Primary 2086S0120X288868-1 (NY)

Pediatric Surgery Physician: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

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About NPI 1235441429

Jennifer Rose Defazio, MD's National Provider Identifier is 1235441429, issued on Jul 5, 2010. The primary taxonomy on file is Pediatric Surgery Physician (2086S0120X), and the practice location is in Chicago, IL. The record was last updated on Oct 23, 2026.