Active NPI
Joseph Dalton, PA-C
- Physician Assistant
- Libertyville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 1860 W Winchester Rd Ste 106
Libertyville, IL 60048-5312 - Phone
- (847) 816-6335
- NPI assigned
- Jul 6, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
1860 W Winchester Rd Ste 106
Libertyville, IL 60048-5312
Mailing address
1860 W Winchester Rd Ste 106
Libertyville, IL 60048-5312
Phone (847) 816-6335
Other practice location 1
1203 W Augusta Blvd Unit 1
Chicago, IL 60642-4327
Phone (773) 248-2255
Other practice location 2
1431 N 53rd St
Milwaukee, WI 53208-2227
Phone (608) 214-9221
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1860 W Winchester Rd
Suite 106
Libertyville, IL 60048-5312
Phone (847) 816-6335
Hospital & facility affiliations
- Advocate Condell Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ganesha Institute of Neurology and Psychiatry SC | Physician Assistant | Current | Accepting new patients |
| Bespoke Psychiatry | Current | Accepting new patients | |
| Ganesha Institute of Neurology and Psychiatry SC | Physician Assistant | Current | Accepting new patients |
Locations
1203 W Augusta Blvd
Ste 1
Chicago, IL 60642
Phone (773) 248-2255
1850 W Winchester Rd
Ste 115
Libertyville, IL 60048
Phone (847) 816-6335
1860 W Winchester Rd
Ste 106
Libertyville, IL 60048
Phone (847) 599-0715
Interoperability endpoints
- joe.dalton.1@9664.direct.athenahealth.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Neurology Physician
- Libertyville, IL
- NPI 1629478599
Physician Assistant
-
- Psychiatry Physician
- Chicago, IL
- NPI 1952937104
-
- Neurology Physician
- Kenosha, WI
- NPI 1619731320
Physician Assistant
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Libertyville, IL
- NPI 1124272547
-
- Mobile Mammography Clinic/Center
- Grayslake, IL
- NPI 1770737199
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708992000000",
"number": "1053938167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1860 W WINCHESTER RD STE 106",
"city": "LIBERTYVILLE",
"state": "IL",
"postal_code": "600485312",
"telephone_number": "847-816-6335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1860 W WINCHESTER RD STE 106",
"city": "LIBERTYVILLE",
"state": "IL",
"postal_code": "600485312",
"telephone_number": "847-816-6335"
}
],
"practiceLocations": [
{
"address_1": "1203 W Augusta Blvd Unit 1",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606424327",
"country_code": "US",
"telephone_number": "773-248-2255",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1431 N 53rd St",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532082227",
"country_code": "US",
"telephone_number": "608-214-9221",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DALTON",
"first_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-06",
"last_updated": "2024-02-27",
"certification_date": "2024-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Libertyville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.