Mario Ezzar Damian Cardenas, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

125088160 Issued in IL

Practice address

3722 Harlem Ave
Riverside, IL 60546-2312

Phone

(708) 783-6566

Fax

(708) 783-6567

NPI assigned

Jun 23, 2026

Last updated

Jun 23, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1782172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1922934280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3722 HARLEM AVE",
            "city": "RIVERSIDE",
            "state": "IL",
            "postal_code": "605462312",
            "telephone_number": "708-783-6566",
            "fax_number": "708-783-6567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3722 HARLEM AVE",
            "city": "RIVERSIDE",
            "state": "IL",
            "postal_code": "605462312",
            "telephone_number": "708-783-6566",
            "fax_number": "708-783-6567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMIAN CARDENAS",
        "first_name": "MARIO",
        "middle_name": "EZZAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-06-23",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125088160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Congruency Integrated Counseling, PLLC
• Cook County (Cook County Health at North Riverside Health)
• Anna Christina Cornejo, LCSW
• Chaiyapon Couropmitree, MD
• Micaela Cruz, RBT
• Bilyana Stanimirova Daskalova
• Pradipkumar Shantilal Desai, M.D.
• Margaret Roche Dudek, M.S., R.D., L.D.N.,
• Navos Pon Golda Durai, MD
• Edward Tong M.D., P.C. (Riverside Family Practice)

• Internal Medicine Physician in Riverside, IL
• Providers in Riverside, 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 Jun 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.