DR. GREGORY HAMPTON DAIRYKO JR. (NPI# 1134385677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134385677 |
| Entity Type | Individual |
| Full Name | DR. GREGORY HAMPTON DAIRYKO JR. |
| Credential | MD |
| Practice Address |
4115 Fairview Ave Downers Grove IL 60515-2268 |
| Mailing Address |
1860 Paysphere Cir Chicago IL 60674-0018 |
| Practice Telephone | 6309681881 |
| Practice Fax Number | 6309683762 |
| Mailing Telephone | 6309427998 |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2019-01-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 35.092590 | OH | Allopathic & Osteopathic Physicians |
| Y | 207X00000X | Orthopaedic Surgery | 125047439 | IL | Allopathic & Osteopathic Physicians |
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
036125154 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036125154 | 05 |
| Street Address |
4115 FAIRVIEW AVE |
| City | DOWNERS GROVE |
| State | IL |
| Zip Code | 60515-2268 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235126962 | Jennifer Johnson | Physician Assistant | 4115 Fairview Ave, Downers Grove, IL 60515-2268 | 2005-09-27 |
| 1306476189 | Erin Gibson | Occupational Therapist | 4115 Fairview Ave, Downers Grove, IL 60515-2268 | 2020-01-22 |
| 1760038673 | Joseph Kennedy | Physical Therapist | 4115 Fairview Ave, Downers Grove, IL 60515-2268 | 2019-08-15 |
| 1073010245 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 4115 Fairview Ave, Downers Grove, IL 60515-2268 | 2018-04-12 |
| 1952828162 | Magdalena A Czerniak | Physical Therapist | 4115 Fairview Ave, Downers Grove, IL 60515-2268 | 2017-08-28 |
| 1457877508 | Danielle Marie Brandonisio | Nurse Practitioner | 4115 Fairview Ave, Downers Grove, IL 60515-2268 | 2017-08-21 |
| 1235674128 | Jessica Genslinger | Physician Assistant | 4115 Fairview Ave, Downers Grove, IL 60515-2268 | 2016-12-30 |
| 1578910899 | Alexandria L Cismesia | Occupational Therapist | 4115 Fairview Ave, Downers Grove, IL 60515-2268 | 2016-05-17 |
| 1497121115 | Nicole Melfi | Physical Therapist | 4115 Fairview Ave, Downers Grove, IL 60515-2268 | 2015-08-17 |
| 1720485238 | Shobita Chander | Physician Assistant | 4115 Fairview Ave, Downers Grove, IL 60515-2268 | 2014-11-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811594906 | Everyday Empowered Clinical Services, Ltd. | Community/Behavioral Health | 5117 Main St, Suite #7, Downers Grove, IL 60515 | 2020-10-02 |
| 1588122568 | Jennifer Solis-english | Family Medicine | Physician Office Center, Tower 2, 3825 Highland Avenue Suite 306, Downers Grove, IL 60515 | 2019-03-07 |
| 1679039358 | Remedi Seniorcare of Chicago, LLC | Pharmacy | 3600 Lacey Road, Suite 500, Downers Grove, IL 60515 | 2019-02-18 |
| 1639651094 | Ann Marie Olson | Occupational Therapy Assistant | 3450 Saratoga Ave., Downers Grove, IL 60515 | 2018-09-02 |
| 1598242802 | Angela Gathings | Nurse Practitioner | 1020 31st St, Downers Grove, IL 60515 | 2018-07-20 |
| 1013408194 | Amer Shammaa | Dentist | 1008 Braemoor Dr, Downers Grove, IL 60515 | 2018-05-23 |
| 1174020994 | Leslie A Kula-leitner | Social Worker | Alder Grove Counseling, 4923 Main Street, Downers Grove, IL 60515 | 2018-04-09 |
| 1588176390 | Tammy Marie Tunac | Counselor | 2001 Butterfield Road, Suite 320, Downers Grove, IL 60515 | 2017-11-02 |
| 1366976466 | Giannasi Mental Health Counselors | Counselor | 921 Curtiss Street, Downers Grove, IL 60515 | 2017-04-14 |
| 1194258079 | Alyssa Stylski | Dentist | 2001 Butterfield Rd Ste 140, Downers Grove, IL 60515 | 2017-04-06 |
| Find all providers in zip 60515 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174516512 | Dilio Menacho | Orthopaedic Surgery | 1111 Warren Ave, Downers Grove, IL 60515-3696 | 2005-08-30 |
| 1376709204 | Vijay B Thangamani | Orthopaedic Surgery | 4115 Fairview Ave, Downers Grove, IL 60515-2268 | 2008-07-30 |
| 1861686388 | Slobodan D. Vucicevic,md, Sc | Orthopaedic Surgery | 3825 Highland Ave, Suite 3c, Downers Grove, IL 60515-1552 | 2007-08-28 |
| 1326140435 | Rahul R Gokhale | Orthopaedic Surgery | 4115 Fairview Ave, Downers Grove, IL 60515-2268 | 2006-09-01 |
| 1992745681 | Christina E Kuo | Orthopaedic Surgery | 4115 Fairview Ave, Downers Grove, IL 60515-2268 | 2006-06-08 |
| 1346236163 | Steven E. Mather | Orthopaedic Surgery | 4115 Fairview Ave, Downers Grove, IL 60515 | 2005-09-27 |
| 1316933120 | Lawrence D. Lieber | Orthopaedic Surgery | 4115 Fairview Ave, Downers Grove, IL 60515-2268 | 2005-09-27 |
| 1205822921 | David J. Tulipan | Orthopaedic Surgery | 4115 Fairview Ave, Downers Grove, IL 60515-2268 | 2005-09-27 |
| 1245226968 | Timothy C. Payne | Orthopaedic Surgery | 4115 Fairview Ave, Downers Grove, IL 60515-2268 | 2005-09-27 |
| 1629064449 | Steven J. Mash | Orthopaedic Surgery | 4115 Fairview Ave, Downers Grove, IL 60515-2268 | 2005-09-27 |
| Find all providers in DOWNERS GROVE | ||||
| City | DOWNERS GROVE |
| Zip Code | 60515 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.