Wilfredo Garduque Dacuycuy, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

3654557 Issued in IL

Practice address

1809 Sheridan Rd
North Chicago, IL 60064-2235

Phone

(847) 785-0611

NPI assigned

Apr 4, 2006

Last updated

Nov 21, 2016By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

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

Family Practice

Education

Other, 1968

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Home Physicians of Illinois LLCGroup PAC ID 7012276173, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: wilfredo.dacuycuy.1@3836.direct.athenahealth.com

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.

• Home Physicians of Illinois LLC

  • Adult Medicine Physician
  • Niles, IL
  • NPI 1841703584
  Medicare reassignment Care Compare group NPD
• B&a Health Provider LLC

  • Family Medicine Physician
  • Darien, IL
  • NPI 1699377200
  Medicare reassignment NPD
• Filam Medical Group Inc

  • Family Medicine Physician
  • Skokie, IL
  • NPI 1104307081
  Medicare reassignment NPD
• Home Visiting Physicians LLC

  • Home Health Agency
  • Arlington Heights, IL
  • NPI 1154573673
  Medicare reassignment NPD
• Illinois Doctors on Demand

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1780148072
  Medicare reassignment NPD
• Intervention Arms Medical Center LLC

  • Family Medicine Physician
  • North Chicago, IL
  • NPI 1518145176
  Medicare reassignment
• Frontline Healthcare LLC

  • Home Health Agency
  • Skokie, IL
  • NPI 1952909996
  NPD
• Thorek Radiology Group NFP

  • Diagnostic Radiology Physician
  • Chicago, IL
  • NPI 1588261978
  NPD
• Amazing Care Systems Inc

  • Family Nurse Practitioner
  • Calumet City, IL
  • NPI 1740552298
  NPD (past)
• Doctors on Demand- Chicago

  • Medical Specialty Clinic/Center
  • Morton Grove, IL
  • NPI 1790338358
  NPD (past)
• Healthcare Management Consulting and Staffing of Chicago

  dba HMCS INC Home Medical Diagnostic and Laboratory Services

  • Clinical Medical Laboratory
  • Chicago, IL
  • NPI 1801523634
  NPD (past)
• Illinois Home Med Visits

  • General Practice Physician
  • Prospect Heights, IL
  • NPI 1770886061
  NPD (past)

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479686400000",
    "number": "1407818545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5030 CHASE AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773455",
            "telephone_number": "847-785-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 SHERIDAN RD",
            "city": "NORTH CHICAGO",
            "state": "IL",
            "postal_code": "600642235",
            "telephone_number": "847-785-0611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DACUYCUY",
        "first_name": "WILFREDO",
        "middle_name": "GARDUQUE",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2016-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "3654557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036054557",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Caitlyn Crain
• Hazelle C Cromartie, PHARM D
• Ruben Cruz, RN
• Violeta N Cruz, RN
• Kenneth Walter Czaplewski, MSW
• Suchi Daga, PHD
• Ayyob Dahmash, RN
• Xuan Thi My Dam, RN
• Jeffrey Allan Damaschke, PT, DPT, PHD, DIPACL
• Abdullah Damra, MD

• Family Medicine Physician in North Chicago, IL
• Providers in North Chicago, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; 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.