Donna Marie Economos, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036097697 Issued in IL

Practice address

727 Grand Ave
Ingleside, IL 60041-9748

Phone

(847) 973-9640

Fax

(847) 973-9639

NPI assigned

Apr 18, 2007

Last updated

Feb 16, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Donna Marie Ventura Arconado Former name

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: donnaeconomos@economosmdsc.direct.emds.com

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.

• Dean S. Economos, MD, SC

  • Family Medicine Physician
  • Ingleside, IL
  • NPI 1467628461
  Medicare reassignment NPD
• Global Care S.C.

  dba Illinois Cardiovascular Specialists

  • Interventional Cardiology Physician
  • Barrington, IL
  • NPI 1033309042
  NPD (past)

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266278400000",
    "number": "1770709644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 GRAND AVE",
            "city": "INGLESIDE",
            "state": "IL",
            "postal_code": "600419748",
            "telephone_number": "847-973-9640",
            "fax_number": "847-973-9639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 GRAND AVE",
            "city": "INGLESIDE",
            "state": "IL",
            "postal_code": "600419748",
            "telephone_number": "847-973-9640",
            "fax_number": "847-973-9639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECONOMOS",
        "first_name": "DONNA",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2010-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036097697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONNA MARIE",
            "last_name": "ARCONADO",
            "middle_name": "VENTURA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• William C Dam, MD
• Dean S. Economos, MD, SC
• Domenico PLLC
• Jane Brigette Dorado, R.N.
• Dean Spiros Economos, M.D.
• Fox Lake Fire Protection District
• Fox Lake Fire Protection District
• Fox Lake Foot Care LTD
• Gavin School District 37
• Caryn Anne Gehrke, LCSW

• Family Medicine Physician in Ingleside, IL
• Providers in Ingleside, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; 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.