Illinois Doctors on Demand

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ILLINOIS DOCTORS ON DEMAND

Practice address

4900 N Pulaski Rd
Chicago, IL 60630-2813

Phone

(847) 530-5916

Fax

(773) 904-0393

NPI assigned

Jan 30, 2019

Last updated

Feb 7, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Delia FamanasNPI 1962233387

Title

President/Ceo

Phone

(847) 530-5916

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rosita S. Hernandez, MD

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1184712887
  Medicare reassignment Care Compare group NPD
• Maria Victoria Victoria Vela, MD

  • Internal Medicine Physician
  • Niles, IL
  • NPI 1245201326
  Medicare reassignment Care Compare group NPD
• Jamie Cadet, APRN, FNP-BC

  • Family Nurse Practitioner
  • Chicago, IL
  • NPI 1538844626
  Medicare reassignment NPD
• Myrlie Larena Casco, M.D.

  • Family Medicine Physician
  • Riverwoods, IL
  • NPI 1093768004
  Medicare reassignment NPD
• Rafael R Castro, MD FACS

  • Surgery Physician
  • Freeport, IL
  • NPI 1417046020
  Medicare reassignment NPD
• Wilfredo Garduque Dacuycuy, M.D.

  • Family Medicine Physician
  • North Chicago, IL
  • NPI 1407818545
  Medicare reassignment NPD
• Gregg Martin Delossantos

  • Foot & Ankle Surgery Podiatrist
  • Chicago, IL
  • NPI 1184886517
  Medicare reassignment NPD
• Grace Nwaka Wabomnor, ANP

  • Adult Health Nurse Practitioner
  • South Holland, IL
  • NPI 1548725799
  Medicare reassignment NPD
• Delia Famanas, RN

  • Registered Nurse
  • Morton Grove, IL
  • NPI 1962233387
  NPD Authorized official
• Meghana Patel

  • Family Nurse Practitioner
  • Lombard, IL
  • NPI 1750243788
  Medicare reassignment
• Mubeen Yamani, APRN

  • Family Nurse Practitioner
  • Chicago, IL
  • NPI 1225861198
  Medicare reassignment
• Samiebert Famanas, RN

  • Adult Psychiatric/Mental Health Registered Nurse
  • Morton Grove, IL
  • NPI 1659102085
  NPD

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

{
    "created_epoch": "1548806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612656000000",
    "number": "1780148072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 N PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606302813",
            "telephone_number": "847-530-5916",
            "fax_number": "773-904-0393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 N PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606302813",
            "telephone_number": "847-530-5916",
            "fax_number": "773-904-0393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLINOIS DOCTORS ON DEMAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-30",
        "last_updated": "2021-02-07",
        "certification_date": "2021-02-07",
        "status": "A",
        "authorized_official_last_name": "FAMANAS",
        "authorized_official_first_name": "DELIA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "847-530-5916"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Illinois Dental Providers (Chicago Loop), LTD (DentalWorks of Chicago Loop)
• Illinois Department of Human Services (Chicago Read Mental Health Center Pharmacy)
• Illinois Department of Human Services (Chicago-Read Mental Health Center)
• Illinois Diagnostic and Interventional Radiology PLLC
• Illinois Digestive and Liver Disease Specialists LTD
• Illinois Foot and Ankle Specialists, P.C.
• Illinois Gastroenterology and Hepatology
• Illinois Health Partners LLC
• Illinois Health Practice Alliance, LLC
• Illinois Health Professionals LLC

• Family Medicine Physician in Chicago, IL
• Providers in Chicago, 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 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.