NPIMap

Organization Active NPI

Dominador L. Dayon Jr., M.D.S.C.

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1841485901
Registry record updated Nov 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036052751 Issued in IL
Legal business name
DOMINADOR L. DAYON JR., M.D.S.C.
Practice address
7906 S Crandon Ave
Suite # 4
Chicago, IL 60617-1146
Phone
(773) 768-5182
Fax
(773) 978-5930
NPI assigned
Sep 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2007

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

Authorized official

Name
Dr. Dominador L Dayon Jr., M.D.NPI 1609989912
Title
Sole Proprietor
Phone
(708) 307-3555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 036052751 IL Primary

Addresses

Primary practice location

7906 S Crandon Ave
Suite # 4
Chicago, IL 60617-1146

Mailing address

11145 Marilyn CT
Orland Park, IL 60467-7467
Phone (708) 307-3555

Other identifiers 2

IdentifierTypeStateIssuer
21606243OtherILBC/BS PROVIDER
036052751MedicaidIL

National Provider Directory

National Provider Directory

Locations

10551 S Ewing Ave
Chicago, IL 60617
Phone (773) 731-9000

7906 S Crandon Ave
Ste 4
Chicago, IL 60617
Phone (773) 768-5182

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1841485901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11145 MARILYN CT",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604677467",
            "telephone_number": "708-307-3555",
            "fax_number": "773-978-5930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7906 S CRANDON AVE",
            "address_2": "SUITE # 4",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606171146",
            "telephone_number": "773-768-5182",
            "fax_number": "773-978-5930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINADOR L. DAYON JR., M.D.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "DAYON",
        "authorized_official_first_name": "DOMINADOR",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "708-307-3555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036052751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER",
            "identifier": "21606243",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036052751",
            "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 16, 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.

Verify at the official NPI Registry.