Donte Medical Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036094623 Issued in IL

Legal business name

DONTE MEDICAL CORPORATION

Practice address

9900 Southwest Hwy
Oak Lawn, IL 60453-3724

Phone

(708) 422-7940

Fax

(708) 422-8154

NPI assigned

Sep 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ronald Eric Sam, D.O.NPI 1073537643

Title

President/Physician

Phone

(708) 422-7758

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Donte Medical SC Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ronald E Sam, D.O.

  • Internal Medicine Physician
  • Oak Lawn, IL
  • NPI 1073537643
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765497600000",
    "number": "1063514065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 SOUTHWEST HWY",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604533724",
            "telephone_number": "708-422-7940",
            "fax_number": "708-422-8154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 SOUTHWEST HWY",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604533724",
            "telephone_number": "708-422-7940",
            "fax_number": "708-422-8154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONTE MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A",
        "authorized_official_last_name": "SAM",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "708-422-7758",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036094623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036094623",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Donte Medical SC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ron Dolgin, PH.D
• Alexandra Gloria Dominguez
• Michelle Dominguez, OT
• Nicole Elizabeth Dominguez, DPT
• Yuanxu Dong, MD
• Ajay K Donthamsetti, MD
• Lisa E Doody, MS CCC-SLP
• Anne M Doorhy, L.CPC
• Sara Doornbosch, NP
• Sharon Dorog

• Internal Medicine Physician in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.