Individual provider Active NPI

Dominique Dear, CNA

  • Rehabilitation Registered Nurse
  • Chicago, IL
National Provider Identifier
1104373620
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Registered NurseTaxonomy code 163WR0400X
License
0564-1436 Issued in IL
Practice address
1365 N. Hudson St.
Apt.594
Chicago, IL 60610-5828
Phone
(312) 513-6525
NPI assigned
Sep 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Registered Nurse 163WR0400X 0564-1436 IL Primary

Addresses

Primary practice location

1365 N. Hudson St.
Apt.594
Chicago, IL 60610-5828

Mailing address

1365 N. Hudson St.
Apt.594
Chicago, IL 60610-5828
Phone (312) 513-6525

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0564-1436ILMDRehabilitation Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1104373620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 N. HUDSON ST.",
            "address_2": "APT.594",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606105828",
            "telephone_number": "312-513-6525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 N. HUDSON ST.",
            "address_2": "APT.594",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606105828",
            "telephone_number": "312-513-6525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAR",
        "first_name": "DOMINIQUE",
        "name_prefix": "Miss",
        "credential": "CNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Rehabilitation",
            "state": "IL",
            "license": "0564-1436",
            "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 Sep 1, 2016; 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.