Active NPI
Dillon Dostal, LPC
- Professional Counselor
- Chicago, IL
National Provider Identifier
1184176596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178.017149
- Practice address
- 2500 W Bradley PL Ste 100
Chicago, IL 60618-4716 - Phone
- (737) 649-0759
- NPI assigned
- Nov 2, 2016
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178.017149 | IL | Primary |
Addresses
Primary practice location
2500 W Bradley PL Ste 100
Chicago, IL 60618-4716
Mailing address
2500 W Bradley PL Ste 100
Chicago, IL 60618-4716
Phone (773) 649-0759
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178.017149 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lutheran Family Services of NE, Inc | Professional | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663200000000",
"number": "1184176596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 W BRADLEY PL STE 100",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606184716",
"telephone_number": "773-649-0759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 W BRADLEY PL STE 100",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606184716",
"telephone_number": "737-649-0759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOSTAL",
"first_name": "DILLON",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-11-02",
"last_updated": "2022-09-15",
"certification_date": "2022-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178.017149",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.