Roanne F Dunaway, P.A.-C.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

085-001462 Issued in IL

Practice address

245 S Gary Ave Ste 207
Bloomingdale, IL 60108-2218

Phone

(630) 893-9661

Fax

(877) 780-5145

NPI assigned

Jul 27, 2006

Sex

Female

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 25, 2024 through Jul 25, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: advancedintegrativehealthcare.roannedunaway@139901.advancedmd-direct.com

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1215951884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 S GARY AVE STE 207",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082218",
            "telephone_number": "630-893-9661",
            "fax_number": "877-780-5145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 S GARY AVE STE 207",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082218",
            "telephone_number": "630-893-9661",
            "fax_number": "877-780-5145"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10001 W Roosevelt Rd",
            "address_2": "Suite 304",
            "address_purpose": "LOCATION",
            "city": "Westchester",
            "state": "IL",
            "postal_code": "601542664",
            "country_code": "US",
            "telephone_number": "708-344-3550",
            "fax_number": "708-344-6577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNAWAY",
        "first_name": "ROANNE",
        "middle_name": "F",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085-001462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Claire Drew, APN
• Stefane A Dreyer, PHARM. D.
• Brianna Colleen Drinnin, PTA
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• Weronika Dudkiewicz
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• Dupage Medical Group LTD
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• Dupage Meta-Vascular Medicine PC
• Duraes Jham Dental, P.C

• Medical Physician Assistant in Bloomingdale, IL
• Providers in Bloomingdale, IL by specialty
• Medical Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.