Active NPI
Margaret I. Dauphin-Van Dyk M.D., S.C.
- Internal Medicine Physician
- Chicago, IL
National Provider Identifier
1205019205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036059705
- Legal business name
- MARGARET I. DAUPHIN-VAN DYK M.D., S.C.
- Practice address
- 2800 N Sheridan Rd Ste 406
Chicago, IL 60657-6158 - Phone
- (312) 201-0044
- Fax
- (773) 697-4628
- NPI assigned
- Dec 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Margaret I Dauphin-Van Dyk, M.D., S.C.
- Title
- Doctor/Owner of Practice
- Phone
- (312) 201-0044
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036059705 | IL | Primary |
Addresses
Primary practice location
2800 N Sheridan Rd Ste 406
Chicago, IL 60657-6158
Mailing address
2800 N Sheridan Rd Ste 406
Chicago, IL 60657-6158
Phone (312) 201-0044
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D1036173 | Margaret I Dauphin-Vandyk M D, S C | Certificate of waiver | Jun 8, 2027 |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/23339/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Chicago, IL
- NPI 1801852926
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197417600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1661904000000",
"number": "1205019205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 N SHERIDAN RD STE 406",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606576158",
"telephone_number": "312-201-0044",
"fax_number": "773-697-4628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 N SHERIDAN RD STE 406",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606576158",
"telephone_number": "312-201-0044",
"fax_number": "773-697-4628"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARGARET I. DAUPHIN-VAN DYK M.D., S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-12",
"last_updated": "2022-08-31",
"certification_date": "2022-08-31",
"status": "A",
"authorized_official_last_name": "DAUPHIN-VAN DYK",
"authorized_official_first_name": "MARGARET",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "DOCTOR/OWNER OF PRACTICE",
"authorized_official_telephone_number": "312-201-0044",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D., S.C."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "IL",
"license": "036059705",
"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 Aug 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.