Individual provider Active NPI

Jarom Daszko, M.D.

  • Family Medicine Physician
  • Oak Lawn, IL
National Provider Identifier
1487674693
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036079914 Issued in IL
Practice address
6101 W 95TH St
Oak Lawn, IL 60453-2735
Phone
(708) 261-0831
Fax
(773) 790-4077
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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 036079914 IL Primary

Addresses

Primary practice location

6101 W 95TH St
Oak Lawn, IL 60453-2735

Mailing address

6101 W 95TH St
Oak Lawn, IL 60453-2735
Phone (708) 261-0831

Other practice location 1

1276 N Clybourn Ave
Chicago, IL 60610-2003
Phone (312) 337-1073

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220825000178 IL Practitioner - Family Practice 1254222359 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Near North Health Service CorporationGroup PAC ID 9638165749, shared by 8 NPIs, 26 clinicians

Practice addresses (Care Compare)

4259 S Berkeley Ave
Chicago, IL 60653-3030
Phone (773) 268-7600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036079914ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PMR Illinois Holding, LLC CurrentSince Aug 1, 2022 Accepting new patients
Tca Health Inc NFP CurrentSince May 28, 2024 Accepting new patients
Tca Health Inc NFP Current Accepting new patients
Tca Health Inc NFP CurrentSince May 28, 2024 Accepting new patients
River City Medical Group, Inc. Family Medicine Past Accepting new patients
Near North Health Service Corporation Past Accepting new patients

Locations

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

1029 E 130th St
Chicago, IL 60628
Phone (773) 995-6300

2734 W 87th St
Chicago, IL 60652
Phone (773) 918-4700

6101 W 95th St
Oak Lawn, IL 60453
Phone (708) 261-0831

Interoperability endpoints

  • Direct secure messaging: jarom.daszko.p1@direct.lakeside.nextgenshare.com
  • Direct secure messaging: jerry.daszko.1@31131.direct.athenahealth.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1487674693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532735",
            "telephone_number": "708-261-0831",
            "fax_number": "773-790-4077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532735",
            "telephone_number": "708-261-0831",
            "fax_number": "773-790-4077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1276 N Clybourn Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606102003",
            "country_code": "US",
            "telephone_number": "312-337-1073",
            "fax_number": "312-337-7616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DASZKO",
        "first_name": "JAROM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036079914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

Verify at the official NPI Registry.