Jose Dimauro, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

036040978 Issued in IL

Practice address

2525 S Michigan Avenue
Mercy Hosptial and Medical Center
Chicago, IL 60616-2477

Phone

(312) 567-8762

Fax

(312) 328-7711

NPI assigned

Sep 29, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Pathology Associates of Chicago LTD

  • Anatomic Pathology & Clinical Pathology Physician
  • Blue Island, IL
  • NPI 1861573727
  NPD (past)

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323993600000",
    "number": "1700978202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 88487",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606801487",
            "telephone_number": "312-791-2000",
            "fax_number": "312-791-2076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 S MICHIGAN AVENUE",
            "address_2": "MERCY HOSPTIAL AND MEDICAL CENTER",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162477",
            "telephone_number": "312-567-8762",
            "fax_number": "312-328-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMAURO",
        "first_name": "JOSE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2011-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IL",
            "license": "036040978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036040918-01",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neil Dimarco, PHARM D
• Dimario Dental Services
• Veronica Lynn Dimario, DDS
• Rosio Dimaso, LCSW
• Sarina Dimaso, PEER SUPPORT SPECIAL
• Dime Theory LLC
• Anamarija Dimevska
• Louise Dimiceli-Mitran, LCPC
• Magdalena Dimitrova
• Dimitrios Alexander Dimitroyannis, PHD, MBA

• Anatomic Pathology & Clinical Pathology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Anatomic Pathology & Clinical Pathology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.