Individual provider Active NPI

Richard D'Aquila, MD

  • Infectious Disease Physician
  • Chicago, IL
National Provider Identifier
1063509172
Registry record updated Apr 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
036131161 Issued in IL
Practice address
676 N. St. Clair
Arkes 940
Chicago, IL 60611-3015
Phone
(312) 503-4876
Fax
(312) 908-2528
NPI assigned
Oct 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 036131161 IL Primary

Addresses

Primary practice location

676 N. St. Clair
Arkes 940
Chicago, IL 60611-3015

Mailing address

303 E. Superior St,
Lurie 9-159
Chicago, IL 60611-3015
Phone (312) 503-4876

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036131161ILMDInfectious Disease Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429142400000",
    "number": "1063509172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E. SUPERIOR ST,",
            "address_2": "LURIE 9-159",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113015",
            "telephone_number": "312-503-4876",
            "fax_number": "312-908-2528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 N. ST. CLAIR",
            "address_2": "ARKES 940",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113015",
            "telephone_number": "312-503-4876",
            "fax_number": "312-908-2528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'AQUILA",
        "first_name": "RICHARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-09",
        "last_updated": "2015-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "IL",
            "license": "036131161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.