Active NPI
Gary L Dillehay, MD
- Nuclear Radiology Physician
- Chicago, IL
National Provider Identifier
1578540795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Radiology Physician
- License
- 36061030
- Practice address
- 251 E Huron St
Nuclear Medicine, Galter 8-110
Chicago, IL 60611-2908 - Phone
- (312) 926-5119
- Fax
- (708) 216-9033
- NPI assigned
- Dec 29, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nuclear Radiology Physician | 2085N0904X | 36061030 | IL | Primary |
Addresses
Primary practice location
251 E Huron St
Nuclear Medicine, Galter 8-110
Chicago, IL 60611-2908
Mailing address
251 E Huron St
Nuclear Medicine, Galter 8-110
Chicago, IL 60611-2908
Phone (312) 926-5119
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36061030 | Medicaid | IL |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36061030 | IL | MD | Nuclear Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333497600000",
"number": "1578540795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 E HURON ST",
"address_2": "NUCLEAR MEDICINE, GALTER 8-110",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112908",
"telephone_number": "312-926-5119",
"fax_number": "708-216-9033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 E HURON ST",
"address_2": "NUCLEAR MEDICINE, GALTER 8-110",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112908",
"telephone_number": "312-926-5119",
"fax_number": "708-216-9033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILLEHAY",
"first_name": "GARY",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-29",
"last_updated": "2012-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": "IL",
"license": "36061030",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "36061030",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.