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NPI Code Detail

MEDICARE: DR. JONTAY A A DARKO MD

MEDICARE: DR. JONTAY A A DARKO MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208M00000XHospitalist Physician036167994IL
2207Q00000XFamily Medicine Physician036167994IL

General Provider Information

NPI Number : 1699396861
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JONTAY A A DARKO MD
Provider Business Mailing Address
First Line : 5141 S HARPER AVE APT 2
Second Line :
City : CHICAGO
State : IL
Zip : 60615-3375
Country : US
Telephone Number : 773-664-3836
Fax Number :
Provider Business Practice Location Address
First Line : 1740 W TAYLOR ST
Second Line :
City : CHICAGO
State : IL
Zip : 60612-7232
Country : US
Telephone Number : 866-600-2273
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/29/2020
Last Update Date : 01/08/2026

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