DR. SOL BICOMONG DAYA (NPI# 1285684126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285684126 |
| Entity Type | Individual |
| Full Name | DR. SOL BICOMONG DAYA |
| Credential | M.D. |
| Practice Address |
7105 Virginia Rd Unit 7 Crystal Lake IL 60014-7985 |
| Mailing Address |
4811 Daniel Dr Crystal Lake IL 60014-6325 |
| Practice Telephone | 8154441913 |
| Practice Fax Number | 8154441951 |
| Mailing Telephone | 8154441943 |
| Mailing Fax Number | 8154441951 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 173000000X | Legal Medicine | IL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | DEA | AD5807269 | 01 |
| IL | MALP. INSURANCE | 02121 | 01 |
| OH | ST. MED. BOARD OF OHIO | 35034828 | 01 |
| Street Address |
7105 VIRGINIA RD UNIT 7 |
| City | CRYSTAL LAKE |
| State | IL |
| Zip Code | 60014-7985 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366404568 | Glen T Matejka | Chiropractor | 7105 Virginia Rd, Suite 15, Crystal Lake, IL 60014-7985 | 2006-04-04 |
| 1922498948 | Health Exp | Hospice Care, Community Based | 7105 Virginia Rd, Ste 10, Crystal Lake, IL 60014-7985 | 2015-01-28 |
| 1366783797 | Ace Therapy Services of Illinois, Inc. | Clinic/Center | 7105 Virginia Rd, Suite 10, Crystal Lake, IL 60014-7985 | 2013-03-11 |
| 1841334406 | Dynamic Family Health Ctr Ltd | Chiropractor | 7105 Virginia Rd, St 24, Crystal Lake, IL 60014 | 2007-02-16 |
| 1801937545 | Mohammad Raza Khan | Internal Medicine | 7105 Virginia Rd, Ste 9, Crystal Lake, IL 60014-7986 | 2007-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497394720 | Lorelei Mariano | Physical Therapist | 350 E Congress Parkway Ste A, Crystal Lake, IL 60014 | 2020-01-03 |
| 1396227070 | Behavioral Services for Autism, Inc | Behavioral Analyst | 1095 Pingree Road, Suite 204, Crystal Lake, IL 60014 | 2018-08-30 |
| 1831635564 | Isis Mendoza-garnica | Counselor | 6803 Rose Ave, Crystal Lake, IL 60014 | 2017-01-19 |
| 1134664402 | Derick Dermatology, LLC | Non-Pharmacy Dispensing Site | 525 E Congress Parkway, Suite 200, Crystal Lake, IL 60014 | 2016-12-22 |
| 1306394051 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 177 W Virginia Street, Crystal Lake, IL 60014 | 2016-09-12 |
| 1124492830 | Align Spine & Orthopaedics | Durable Medical Equipment & Medical Supplies | 60 B West Terra Cotta Ave, #265, Crystal Lake, IL 60014 | 2015-11-18 |
| 1558747428 | Shabana Nawaz | Optometrist | 4777 Northwest Highway, Crystal Lake, IL 60014 | 2015-08-03 |
| 1548649205 | Daniel Okon | Social Worker | 304 Charllote Ave, Crystal Lake, IL 60014 | 2015-05-27 |
| 1154729838 | Crystal Lake Center for Chronic Pain Sc | Nurse Practitioner | 1 South Northwest Highway, Crystal Lake, IL 60014 | 2014-12-12 |
| 1558763581 | Brooke Nicole Grandt | Occupational Therapist | 394 Heisler Ct, Crystal Lake, IL 60014 | 2014-09-22 |
| Find all providers in zip 60014 | ||||
| Taxonomy Code | 173000000X |
| Grouping | Other Service Providers |
| Classification | Legal Medicine |
| The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063962066 | Champaign County Coroner | Legal Medicine | 202 Art Bartell Rd, Urbana, IL 61802-2889 | 2016-10-13 |
| 1013356278 | Malgorzata K. Barnas | Legal Medicine | 4713 N New England Ave, Harwood Heights, IL 60706-3911 | 2013-06-20 |
| 1487923330 | Albert George Mitsos | Legal Medicine | 5675 Port Clinton Rd, Long Grove, IL 60047-5059 | 2011-12-22 |
| 1467737882 | North Shore Pediatrics | Legal Medicine | 9933 Lawler Ave Ste 305, Skokie, IL 60077-3713 | 2011-10-17 |
| 1992934673 | Remegio M Vilbar Mdsc | Legal Medicine | 1431 N Western Ave Ste 202, Chicago, IL 60622-7712 | 2009-07-02 |
| 1467669200 | Chicago North Medical Partnership | Legal Medicine | 5308 N Broadway St, Chicago, IL 60640-2312 | 2007-05-17 |
| 1730306358 | Shanmugavelayutham Ramasamy | Legal Medicine | 7933 Oakview Ln, Woodridge, IL 60517-3742 | 2007-04-18 |
| 1023231289 | Willowbrook Medical Center Ltd. | Legal Medicine | 535 Plainfield Road, Suite C, Willowbrook, IL 60527 | 2007-04-10 |
| 1508983651 | Ann M Bova | Legal Medicine | 907 Clock Tower Dr, Springfield, IL 62704-6023 | 2007-03-23 |
| 1669518163 | Ghulam J. Dhar | Legal Medicine | 404 Sherwood Rd, La Grange Park, IL 60526-1968 | 2007-01-30 |
| Find all providers with the same taxonomy | ||||
| City | CRYSTAL LAKE |
| Zip Code | 60014 |
Please comment or provide details below to improve the information on DR. SOL BICOMONG DAYA.
| 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.