Individual provider Active NPI

Inna Dilman, PA-C

  • Physician Assistant
  • Skokie, IL
National Provider Identifier
1245586627
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085.004494 Issued in IL
Practice address
4711 Golf Rd Ste 1200
Skokie, IL 60076-1200
Phone
(224) 217-9019
NPI assigned
Aug 3, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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 085.004494 IL Primary

Addresses

Primary practice location

4711 Golf Rd Ste 1200
Skokie, IL 60076-1200

Mailing address

23143 N Sanctuary Club Dr
Kildeer, IL 60047-8615
Phone (847) 682-4998

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
I20130605000172 IL Practitioner - Physician Assistant 0345499380 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
Associates in Psychiatric Wellness LPGroup PAC ID 4688777428, 9 clinicians

Practice addresses (Care Compare)

4711 Golf Rd
Suite 1200
Skokie, IL 60076-1200
Phone (847) 563-4488

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
085.004494ILMDPhysician Assistant

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.

NPI Registry JSON

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

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1245586627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23143 N SANCTUARY CLUB DR",
            "city": "KILDEER",
            "state": "IL",
            "postal_code": "600478615",
            "telephone_number": "847-682-4998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4711 GOLF RD STE 1200",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761200",
            "telephone_number": "224-217-9019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILMAN",
        "first_name": "INNA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-03",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.004494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.