Jr Dadivas Jr. MD., SC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

JR DADIVAS JR. MD., SC

Practice address

730 S Dearborn St
Chicago, IL 60605-1838

Phone

(312) 588-1104

Fax

(312) 577-0884

NPI assigned

Feb 21, 2014

Organization subpart

No

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

Authorized official

Name

Jesus R Dadivas, MD

Title

Owner

Phone

(312) 588-1104

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1392940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392940800000",
    "number": "1912322355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 S DEARBORN ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606051838",
            "telephone_number": "312-588-1104",
            "fax_number": "312-577-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 S DEARBORN ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606051838",
            "telephone_number": "312-588-1104",
            "fax_number": "312-577-0884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JR DADIVAS JR. MD., SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-21",
        "last_updated": "2014-02-21",
        "status": "A",
        "authorized_official_last_name": "DADIVAS",
        "authorized_official_first_name": "JESUS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-588-1104",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Chicago, IL
• Providers in Chicago, 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 Feb 21, 2014; 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.