Individual provider Active NPI

Margaret Wilson Dolan, PA

  • Physician Assistant
  • Chicago, IL
National Provider Identifier
1235482738
Registry record updated Aug 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085-004392 Issued in IL
Practice address
1725 W Harrison St
Suite 1010
Chicago, IL 60612-3841
Phone
(312) 942-6300
Fax
(312) 942-6301
NPI assigned
Oct 22, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085-004392 IL Primary

Addresses

Primary practice location

1725 W Harrison St
Suite 1010
Chicago, IL 60612-3841

Mailing address

1725 W Harrison St
Suite 842
Chicago, IL 60612-3841
Phone (312) 942-6300

Other names 1

  • Margaret Kathleen Wilson Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121110000017 IL Practitioner - Physician Assistant 2567613094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians

Practice addresses (Care Compare)

1520 W Harrison St
Chicago, IL 60607-3106
Phone (312) 942-5904

1700 W Van Buren St
Chicago, IL 60612-5500
Phone (312) 563-2875

200 Riverside Dr
Bourbonnais, IL 60914-4689
Phone (312) 942-6300

3900 W 203Rd St
Olympia Fields, IL 60461-1183
Phone (312) 942-6300

610 S Maple Ave
Oak Park, IL 60304-2808

Hospital & facility affiliations

  • Rush University Medical Center Hospital, Chicago, IL, CCN 140119
  • Riverside Medical Center Hospital, Kankakee, IL, CCN 140186
  • Franciscan Health Olympia & Chicago Heights Hospital, Olympia Fields, IL, CCN 140172

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085-004392ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rush University Medical Group CurrentSince Jun 1, 2020 Accepting new patients
Midwest Podiatry Services LTD Past Accepting new patients

Locations

200 Riverside Dr
Bourbonnais, IL 60914
Phone (815) 929-0010

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

1725 W Harrison St
Ste 351
Chicago, IL 60612
Phone (312) 226-2371

5140 N California Ave
Ste 635645
Chicago, IL 60625
Phone (773) 989-6200

1520 W Harrison St
Chicago, IL 60607
Phone (312) 226-2371

1725 W Harrison St
Ste 842
Chicago, IL 60612
Phone (312) 723-0930

75 Remittance Dr
Dept 1611
Chicago, IL 60675

1725 W Harrison St
Ste 1010
Chicago, IL 60612
Phone (312) 942-5904

3900 W 203rd St
Olympia Flds, IL 60461
Phone (708) 478-7437

Interoperability endpoints

  • Direct secure messaging: mwilson56577@direct.rush.rush-health.com

Organizations & group practices 2

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1235482738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST",
            "address_2": "SUITE 842",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123841",
            "telephone_number": "312-942-6300",
            "fax_number": "312-942-6301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST",
            "address_2": "SUITE 1010",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123841",
            "telephone_number": "312-942-6300",
            "fax_number": "312-942-6301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLAN",
        "first_name": "MARGARET",
        "middle_name": "WILSON",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-22",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085-004392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARGARET",
            "last_name": "WILSON",
            "middle_name": "KATHLEEN",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.