Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jesus Rene Dadivas Jr., MD

Individual provider Family Medicine Physician · NPI 1952690422

Dr. Jesus Rene Dadivas Jr., MD is a Family Practice in Niles, Illinois. Qualified in 2007, 19 years ago. Practices with Vohra Wound Physicians of Il SC, a 20-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
19
Licensed in
IL
In the registry since
2011
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

8074 N Milwaukee Ave
Niles, IL 60714-2802
Phone: (847) 834-4101
Fax: (224) 506-3403
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036130079 (IL)

Record details

NPI number1952690422
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 5, 2011
Last updated in NPPESMarch 28, 2026
Certification dateMarch 28, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesPERIPHERAL VASCULAR DISEASE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Vohra Wound Physicians Of Il Sc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Niles