Daniel George Juarez

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

9700 E Golf Rd
Des Plaines, IL 60016-1566

Phone

(773) 917-8400

NPI assigned

Feb 27, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Midwest Anesthesia and Pain Specialists SCGroup PAC ID 6204051899, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Midwest Anesthesia and Pain Specialists, SC

  • Interventional Pain Medicine Physician
  • Des Plaines, IL
  • NPI 1558773754
  Medicare reassignment Care Compare group NPD
• Midwest Anesthesia and Pain Specialists SC

  • Specialist
  • Frankfort, IL
  • NPI 1740074525
  NPD

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1104525401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 E GOLF RD",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161566",
            "telephone_number": "917-773-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 E GOLF RD",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161566",
            "telephone_number": "773-917-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUAREZ",
        "first_name": "DANIEL",
        "middle_name": "GEORGE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teenamol Joseph
• Tiffany Joseph
• Tina Joseph
• Ansha Joy
• Jr Imaging Mobile Ultrasound
• Kaylla Mellanie Juarez
• June R. R. Nichols Ocularist, LTD
• Anna-Maria Jurma
• Agnieszka Juscinska, M.D.
• K2 Counseling Center Inc

• Physician Assistant in Des Plaines, IL
• Providers in Des Plaines, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.