Active NPI
Dominador L Dayon Jr., M. D.
- Family Medicine Physician
- Chicago, IL
National Provider Identifier
1609989912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036052751
- Practice address
- 7906 S Crandon Ave
Suite #4
Chicago, IL 60617-1146 - Phone
- (773) 768-5182
- Fax
- (773) 978-5930
- NPI assigned
- Aug 17, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036052751 | IL | Primary |
Addresses
Primary practice location
7906 S Crandon Ave
Suite #4
Chicago, IL 60617-1146
Mailing address
7906 S Crandon Ave
Suite #4
Chicago, IL 60617-1146
Phone (773) 768-5182
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036052751 | Medicaid | IL | |
| 21606243 | Other | IL | BLUE CROSS BLUE SHIELD |
Other names 1
- Dominador L Dayon Jr.
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 |
|---|---|---|---|
| 036052751 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dominador L. Dayon Jr., M.D.S.C. | Family Medicine | Past | Accepting new patients |
| Nephrology Associates of Northern Illinois, LTD. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Chicago, IL
- NPI 1841485901
-
- Nephrology Physician
- Oak Brook, IL
- NPI 1124069182
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330300800000",
"number": "1609989912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7906 S CRANDON AVE",
"address_2": "SUITE #4",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606171146",
"telephone_number": "773-768-5182",
"fax_number": "773-978-5930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7906 S CRANDON AVE",
"address_2": "SUITE #4",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606171146",
"telephone_number": "773-768-5182",
"fax_number": "773-978-5930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAYON",
"first_name": "DOMINADOR",
"middle_name": "L",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M. D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-17",
"last_updated": "2012-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036052751",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036052751",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "21606243",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DOMINADOR",
"last_name": "DAYON",
"middle_name": "L",
"suffix": "JR.",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
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 Feb 27, 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.