Active NPI
John Thomas Daugirdas, MD
- Nephrology Physician
- Burr Ridge, IL
National Provider Identifier
1316133614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Practice address
- 15W560 89TH Street
Burr Ridge, IL 60527 - Phone
- (630) 325-3276
- NPI assigned
- Sep 20, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | IL | Primary |
Addresses
Primary practice location
15W560 89TH Street
Burr Ridge, IL 60527
Mailing address
15W560 89TH Street
Burr Ridge, IL 60527
Phone (630) 325-3276
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036053918 | IL | MD | Nephrology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190246400000",
"number": "1316133614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15W560 89TH STREET",
"city": "BURR RIDGE",
"state": "IL",
"postal_code": "60527",
"telephone_number": "630-325-3276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15W560 89TH STREET",
"city": "BURR RIDGE",
"state": "IL",
"postal_code": "60527",
"telephone_number": "630-325-3276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAUGIRDAS",
"first_name": "JOHN",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-20",
"last_updated": "2007-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burr Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.