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

Peng Ji, MD, PHD

Individual provider Clinical Pathology Physician · NPI 1154639771

Peng Ji, MD, PHD is a Pathology in Chicago, Illinois. Qualified in 2000, 26 years ago. Practices with Northwestern Medical Faculty Foundation, a 4,394-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
26
Licensed in
IL
In the registry since
2010
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

420 E Superior St Rubloff Bldg 12-172
Chicago, IL 60611-4494
Phone: (312) 503-4756
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Pathology Physician (primary) Taxonomy 207ZC0006X · Licence 125-058983 (IL)

Record details

NPI number1154639771
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , PHD
Sole proprietorNo
NPI enumeratedSeptember 16, 2010
Last updated in NPPESFebruary 1, 2017
Mailing address303 E Chicago Ave, Ward 3-140, Chicago, IL 60611-4296

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Northwestern Medical Faculty Foundation — 4394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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