Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
CHILDREN'S MEMORIAL MEDICAL GROUP
Active
Organization
CHILDREN'S MEMORIAL MEDICAL GROUP
Active
Other names
CMMG Medical Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
LISA LENZ (DIRECTOR)
(312) 573-4512
Entity
Organization
Contact information
Practice address
2300 N CHILDRENS PLZ, #64, CHICAGO, IL 60614-3363
(312) 573-4515
(312) 573-8405
Mailing address
2300 N CHILDRENS PLZ, #64, CHICAGO, IL 60614-3363
(312) 573-4515
(312) 573-8405
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
11/28/2006
Last updated
09/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up