Organization · NPI-2

Mpower Wellness LLC

Pediatrics, Obesity Medicine · Evanston, IL

NPI number1649066895

StatusActive

Last updated in NPPESJun 3, 2026

Details

NPI: 1649066895
Entity type: Organization (NPI-2)
Legal business name: Mpower Wellness LLC
Organization subpart: No
Enumeration date: Apr 15, 2025
Certification date: Jun 3, 2026
Last updated: Jun 3, 2026

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
2080B0002X	Pediatrics, Obesity Medicine	–	–	Yes

Practice location

3423 Church St
Evanston, IL 60203-1714

Phone 773-500-3650 · Fax 773-284-6290

Mailing address

3223 Lake Ave Ste 15c
Wilmette, IL 60091-1069

Phone 847-951-5139

Authorized official

Jennifer Ann Perez
Chief Medical Officer
8479515139

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