Individual provider Active NPI

Danilo Angeles Deano, M.D.

  • Cardiovascular Disease Physician
  • Chicago, IL
National Provider Identifier
1982709879
Registry record updated Sep 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
036046873 Issued in IL
Practice address
2222 W Division St
Suite # 300
Chicago, IL 60622-2717
Phone
(773) 292-9791
Fax
(773) 292-9792
NPI assigned
Sep 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 036046873 IL Primary

Addresses

Primary practice location

2222 W Division St
Suite # 300
Chicago, IL 60622-2717

Mailing address

4643 N Clark St
Chicago, IL 60640-4619
Phone (773) 989-1099

Other identifiers 5

IdentifierTypeStateIssuer
01623617OtherILBCBS IL DEANO MEDICAL ASS
036046873MedicaidIL
1630322OtherILBCBS IL WICKER PARK HEART
060065883OtherRRCARE WICKER PARK HEART
791061528OtherRRCARE DEANO MEDICAL ASSO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036046873ILMDCardiovascular Disease Physician

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316563200000",
    "number": "1982709879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4643 N CLARK ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606404619",
            "telephone_number": "773-989-1099",
            "fax_number": "773-989-1925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 W DIVISION ST",
            "address_2": "SUITE # 300",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222717",
            "telephone_number": "773-292-9791",
            "fax_number": "773-292-9792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEANO",
        "first_name": "DANILO",
        "middle_name": "ANGELES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2011-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036046873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IL DEANO MEDICAL ASS",
            "identifier": "01623617",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036046873",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IL WICKER PARK HEART",
            "identifier": "1630322",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRCARE WICKER PARK HEART",
            "identifier": "060065883",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRCARE DEANO MEDICAL ASSO",
            "identifier": "791061528",
            "state": null
        }
    ],
    "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 Sep 21, 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.