Donald M Dedonato, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Practice address

1630 W Central Rd
Arlington HTS, IL 60005-2407

Phone

(847) 394-3553

Fax

(847) 394-3574

NPI assigned

Jul 11, 2005

Last updated

Dec 28, 2007By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198800000000",
    "number": "1114925450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 W CENTRAL RD",
            "city": "ARLINGTON HTS",
            "state": "IL",
            "postal_code": "600052407",
            "telephone_number": "847-394-3553",
            "fax_number": "847-394-3574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 W CENTRAL RD",
            "city": "ARLINGTON HTS",
            "state": "IL",
            "postal_code": "600052407",
            "telephone_number": "847-394-3553",
            "fax_number": "847-394-3574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEDONATO",
        "first_name": "DONALD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2007-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CA5143",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "31602433",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Czapek, D.M.D
• Alan Arthur Daar IV, D.O.
• Ashley P Dalton, PA-C
• David R. Baldare DDS LTD
• Jessica Davis, RPN
• Jeffry R Dobkin, D.D.S.
• Dale Stephen Douglas, DMD
• Dr Edward H Shim DDS LTD
• Dr William B Brand S.C. (Vision One)
• Marie Taylor Duetsch, MSW

• Obstetrics & Gynecology Physician in Arlington HTS, IL
• Providers in Arlington HTS, IL by specialty
• Obstetrics & Gynecology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; 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.