Daniel Santiago Vergara

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178012450 Issued in IL

Practice address

2001 S California Ave
Chicago, IL 60608-2486

Phone

(773) 584-6200

NPI assigned

Nov 15, 2016

Last updated

Nov 15, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Alivio Medical Center, Inc.

  dba Alivio Medical Center

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1073617387
  NPD
• Alivio Medical Center, Inc.

  • Multi-Specialty Clinic/Center
  • Chicago, IL
  • NPI 1083860845
  NPD
• Alivio Medical Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1710096482
  NPD

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

{
    "created_epoch": "1479168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479168000000",
    "number": "1528500980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2703 S KOMENSKY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606234447",
            "telephone_number": "773-704-6552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S CALIFORNIA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606082486",
            "telephone_number": "773-584-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERGARA",
        "first_name": "DANIEL",
        "middle_name": "SANTIAGO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-15",
        "last_updated": "2016-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178012450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francisco Verde
• Clementina Verdin
• Maribel Verdin, INTERPRETER
• Christine Veres, M.D.
• Pamela Teresa Vergara-Rodriguez, MD
• Gima Elena Vergara, AU.D.
• Humberto Vergara, M.D.
• Keith Gerald Vergara, PT, DPT
• Ashley M Vergel
• Dhiran Verghese, MD

• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.