Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jennifer Rose Defazio, MD

Individual provider Pediatric Surgery Physician · NPI 1235441429

Jennifer Rose Defazio, MD is a Pediatric Surgery Physician in Chicago, Illinois. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2010
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5841 S Maryland Ave
Chicago, IL 60637-1447
Phone: (773) 702-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Surgery Physician (primary) Taxonomy 2086S0120X · Licence 288868-1 (NY)

Record details

NPI number1235441429
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 5, 2010
Last updated in NPPESJanuary 23, 2020
Certification dateJanuary 23, 2020

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