Justin Dey

Primary specialty

Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X

License

036.171107 Issued in IL

Practice address

25 N Winfield Rd
Winfield, IL 60190-1379

Phone

(630) 933-1600

Fax

(312) 227-6090

NPI assigned

Mar 31, 2018

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 WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

EndocrinologyAlso: Pediatric Medicine

Education

St. Louis College of Physicians and Surgeons, 2018

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Lurie Children's Medical Group, LLC

  dba LCMG

  • Pediatrics Physician
  • Chicago, IL
  • NPI 1992758544
  NPD (past)
• Medical College of Wisconsin Affiliated Hospitals

  • Student in an Organized Health Care Education/Training Program
  • Milwaukee, WI
  • NPI 1164365714
  NPD (past)

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

{
    "created_epoch": "1522454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1306342258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 N SUMMIT ST",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601874453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 N WINFIELD RD",
            "city": "WINFIELD",
            "state": "IL",
            "postal_code": "601901379",
            "telephone_number": "630-933-1600",
            "fax_number": "312-227-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEY",
        "first_name": "JUSTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-31",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "IL",
            "license": "036.171107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ernest F Dejesus, MD
• Jennifer Anne Regan Delacruz, MD
• Kristie Lynn Slivka Delaney, M.D.
• David Delapp, DO
• Melody Joy Derrick, M.D.
• Colleen Marie Dickinson, MS CCC-SLP/L
• Jane Dietz-Purduski, OTR/L
• Elizabeth Ann Dillman, APRN
• David Daobin Ding, MD
• Lan Dinh, PHARM.D.

• Pediatric Endocrinology Physician in Winfield, IL
• Providers in Winfield, IL by specialty
• Pediatric Endocrinology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.