Organization Active NPI

Mary Dean-Onayemi,M.D.

  • Clinic/Center
  • Chicago, IL
National Provider Identifier
1922364918
Registry record updated Apr 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
036-065557 Issued in IL
Legal business name
MARY DEAN-ONAYEMI,M.D.
Practice address
1701 W Monterey Ave
Suite 11
Chicago, IL 60643-4257
Phone
(773) 238-2282
Fax
(773) 238-5746
NPI assigned
Apr 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2012

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

Authorized official

Name
Dr. Mary Ann Dean-Onayemi, M.D.NPI 1770518169
Title
Medical Doctor
Phone
(773) 238-2282

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
Clinic/Center 261Q00000X 036-065557 IL Primary

Addresses

Primary practice location

1701 W Monterey Ave
Suite 11
Chicago, IL 60643-4257

Mailing address

1701 W Monterey Ave
Suite 11
Chicago, IL 60643-4257
Phone (773) 238-2282

Other identifiers 1

IdentifierTypeStateIssuer
036 065557MedicaidIL

National Provider Directory

National Provider Directory

Locations

1701 W Monterey Ave
Ste 11
Chicago, IL 60643
Phone (773) 238-2282

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1333497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333497600000",
    "number": "1922364918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 W MONTEREY AVE",
            "address_2": "SUITE 11",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606434257",
            "telephone_number": "773-238-2282",
            "fax_number": "773-238-5746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 W MONTEREY AVE",
            "address_2": "SUITE 11",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606434257",
            "telephone_number": "773-238-2282",
            "fax_number": "773-238-5746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY DEAN-ONAYEMI,M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-04",
        "last_updated": "2012-04-04",
        "status": "A",
        "authorized_official_last_name": "DEAN-ONAYEMI",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "773-238-2282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "036-065557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036 065557",
            "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 Apr 4, 2012; 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.