Individual provider Active NPI

James A. Daleo, MD

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1255314357
Registry record updated Aug 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036064448 Issued in IL
Practice address
7107 W Belmont Ave
Suite 7
Chicago, IL 60634-4688
Phone
(773) 622-2006
NPI assigned
Nov 22, 2005
Last updated
Aug 23, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036064448 IL Primary

Addresses

Primary practice location

7107 W Belmont Ave
Suite 7
Chicago, IL 60634-4688

Mailing address

7634 W Belmont Ave
Chicago, IL 60634-3110
Phone (773) 589-1677

Other identifiers 1

IdentifierTypeStateIssuer
036064448MedicaidIL

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)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Gottlieb Community Health Services Corporation Past Accepting new patients
Gottlieb Community Health Services Corporation Past Accepting new patients
Gottlieb Memorial Hospital Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282521600000",
    "number": "1255314357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7634 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606343110",
            "telephone_number": "773-589-1677",
            "fax_number": "773-589-1688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7107 W BELMONT AVE",
            "address_2": "SUITE 7",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606344688",
            "telephone_number": "773-622-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALEO",
        "first_name": "JAMES",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2010-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036064448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036064448",
            "state": "IL"
        }
    ],
    "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 Aug 23, 2010; 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.