Daniel P McCormick, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

036090519 Issued in IL

Practice address

3700 W 203Rd St
Olympia Fields, IL 60461-1180

Phone

(708) 679-2029

Fax

(708) 422-7816

NPI assigned

Jul 13, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dmccormick67376@direct.franciscanalliance.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Franciscan Lakeshore ASC, LLC

  • Ambulatory Surgical Clinic/Center
  • Crown Point, IN
  • NPI 1144866781
  NPD Authorized official
• Southwest Nephrology Associates, S.C.

  • Ambulatory Surgical Clinic/Center
  • Orland Park, IL
  • NPI 1104925163

  Nephrology

  NPD
• Franciscan Health Crown Point

  • Community/Retail Pharmacy
  • Crown Point, IN
  • NPI 1184250623
  NPD (past)
• Nephrology Consultants of Grand Rapids PC

  • Nephrology Physician
  • Grand Rapids, MI
  • NPI 1528254877
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372118400000",
    "number": "1992720320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 W 203RD ST",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611180",
            "telephone_number": "708-679-2029",
            "fax_number": "708-422-7816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 W 203RD ST",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611180",
            "telephone_number": "708-679-2029",
            "fax_number": "708-422-7816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "DANIEL",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2013-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036090519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036090519",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hayley A Mayers, PTA
• Evan B Mazurkiewicz, DO
• Howard K MC Nair, M.D.
• Michele McCallum
• Shalese McClain
• James V McGarry, M.D.
• Anita Kay McGruder-Johnson, PH.D.
• Ciara Dominique McNutt, PTA
• MD Orthotic and Prosthetic Laboratory, Inc.
• Me in the Making Wellness

• Nephrology Physician in Olympia Fields, IL
• Providers in Olympia Fields, IL by specialty
• Nephrology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; 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.