Active NPI
Darlene Egues, MD
- Pediatrics Physician
- Chicago, IL
National Provider Identifier
1700872900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Practice address
- 1918 W Irving Park Rd
Chicago, IL 60613-2408 - Phone
- (773) 477-4900
- Fax
- (773) 477-4478
- NPI assigned
- Sep 22, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | IL | Primary |
Addresses
Primary practice location
1918 W Irving Park Rd
Chicago, IL 60613-2408
Mailing address
1918 W Irving Park Rd
Chicago, IL 60613-2408
Phone (773) 960-2555
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201026 | Other | IL | ADVOCATE HEALTH PARTNERS |
| 36444136901 | Other | IL | ADVOCATE HEALTH CTR ID |
| 01632128 | Other | IL | BCBS |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-103376 | IL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chicago Pediatric Clinic | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Chicago, IL
- NPI 1780724898
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194220800000",
"number": "1700872900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1918 W IRVING PARK RD",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606132408",
"telephone_number": "773-960-2555",
"fax_number": "773-477-4478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1918 W IRVING PARK RD",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606132408",
"telephone_number": "773-477-4900",
"fax_number": "773-477-4478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGUES",
"first_name": "DARLENE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-09-22",
"last_updated": "2007-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADVOCATE HEALTH PARTNERS",
"identifier": "201026",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADVOCATE HEALTH CTR ID",
"identifier": "36444136901",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "01632128",
"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 Nov 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.