Individual
DR. DOMINADOR L DAYON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
7906 S CRANDON AVE, SUITE #4, CHICAGO, IL 60617-1146
(773) 768-5182
(773) 978-5930
Mailing address
7906 S CRANDON AVE, SUITE #4, CHICAGO, IL 60617-1146
(773) 768-5182
(773) 978-5930
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036052751
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036052751
—
IL
01
—
21606243
BLUE CROSS BLUE SHIELD
IL
Enumeration date
08/17/2006
Last updated
02/27/2012
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