MEDICARE: DAYIMIRIS R PEGUERO LCPC

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
1	101YP2500X	Professional Counselor	180005048

General Provider Information

NPI Number	:	1902936222
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAYIMIRIS R PEGUERO LCPC

Provider Business Mailing Address
First Line	:	10450 S WESTERN AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60643-2508
Country	:	US
Telephone Number	:	708-532-6951
Fax Number	:	708-532-6952

Provider Business Practice Location Address
First Line	:	10450 S WESTERN AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60643-2508
Country	:	US
Telephone Number	:	708-532-6951
Fax Number	:	708-532-6952

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/06/2007
Last Update Date	:	04/21/2011

Similar Medicare Providers

1023234143 — DARRIEN LANCE GASTON M.D.
Practice Location Address:

10444 S WESTERN AVE , SUITE A
CHICAGO, IL
60643-2508

Practice Phone: 773-238-1126
Practice Fax:

1134345267 — METROPOLITAN GASTROENTEROLOGY CONSULTANTS LIMITED
Practice Location Address:

10444 S WESTERN AVE , SUITE A
CHICAGO, IL
60643-2508

Practice Phone: 773-238-1126
Practice Fax:

1013316470 — FAMILY BUILDING BLOCKS
Practice Location Address:

10450 S WESTERN AVE
CHICAGO, IL
60643-2508

Practice Phone: 773-429-9454
Practice Fax:

1730588021 — LISA DURBIN LCPC
Practice Location Address:

10450 S WESTERN AVE
CHICAGO, IL
60643-2508

Practice Phone: 773-429-9454
Practice Fax:

1780399055 — MR. DOUGLAS NYENKE APRN, PMHNP-BC
Practice Location Address:

10406 S WESTERN AVE
CHICAGO, IL
60643-2508

Practice Phone: 312-857-4475
Practice Fax: 773-666-7241

1649052002 — BEVERLY BONE AND JOINT CLINIC LLC
Practice Location Address:

10448 S WESTERN AVE
CHICAGO, IL
60643-2508

Practice Phone: 708-360-3507
Practice Fax:

Directions to “ DAYIMIRIS R PEGUERO LCPC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.