Jobert Baguisi Dulay, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209025996 Issued in IL

Practice address

2203 Oakton St
Park Ridge, IL 60068-1880

Phone

(312) 218-2542

NPI assigned

Oct 4, 2022

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sang Medical Corp

  • Pediatrics Physician
  • Fresno, CA
  • NPI 1003251687
  NPD (past)
• Wilcox Memorial Hospital

  • Rural Acute Care Hospital
  • Lihue, HI
  • NPI 1225113442
  NPD (past)

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

{
    "created_epoch": "1664841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1154046092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2203 OAKTON ST",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681880",
            "telephone_number": "312-218-2542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2203 OAKTON ST",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681880",
            "telephone_number": "312-218-2542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DULAY",
        "first_name": "JOBERT",
        "middle_name": "BAGUISI",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-04",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209025996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corin Duffek, RBT
• Pamela Lynn Duffey, RN BSN CEN TNS
• Erica Duffy, FDN-P, HEALTH COACH
• Peter Francis Duggan, M.D.
• Haritha Dukkipati, M.D.
• Leo Dumanis, DDS
• Dillan G Dumanlang
• Magdalena Dumin, M.D.
• Therese E Dunne, MD
• Jeannine Patricia Dunnell, P.T.

• All providers in Park Ridge, IL
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; 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.