Organization Active NPI

Margaret I. Dauphin-Van Dyk M.D., S.C.

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1205019205
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036059705 Issued in IL
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

Updated by the provider on Aug 31, 2022

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.NPI 1801852926
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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20060316000065 IL Part B Supplier - Clinic/Group Practice 8426065400 Receives reassigned benefits from 1 practitioner
Practice locations: Chicago, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D1036173Margaret I Dauphin-Vandyk M D, S C2800 N Sheridan Rd - Ste 406, Chicago, IL 60657Certificate of waiverJun 8, 2027

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: 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.

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.

Verify at the official NPI Registry.