Salomon J Dayan, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036045741 Issued in IL

Practice address

2837 Sheridan PL
Evanston, IL 60201-1725

Phone

(773) 677-6590

Fax

(847) 859-2760

NPI assigned

Jul 10, 2011

Last updated

Jul 10, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1310256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310256000000",
    "number": "1821385949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2837 SHERIDAN PL",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2837 SHERIDAN PL",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011725",
            "telephone_number": "773-677-6590",
            "fax_number": "847-859-2760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAYAN",
        "first_name": "SALOMON",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-10",
        "last_updated": "2011-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036045741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS STATE MEDICAL LICENSE",
            "identifier": "036045741",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason Thomas Davis, MA, LPC
• Jennifer Lynn Davis, CRNA
• Kristen M Davis, DPT
• Payton Joseph Davis
• Alyssa Dayan, MD
• DDN Medical
• Erin De Groot, LCSW
• Audrone De la Vega, APN-CNP
• Jenifer Carlos De Lara, PT
• David De Leon, MD

• Internal Medicine Physician in Evanston, IL
• Providers in Evanston, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.