Richard L Dahl, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

085003585 Issued in IL

Practice address

2615 Harrison St
Bellwood, IL 60104-2450

Phone

(708) 493-0199

Fax

(708) 493-9683

NPI assigned

Jan 6, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Foster Health PLLC

  • General Practice Physician
  • Naperville, IL
  • NPI 1598645541
  Medicare reassignment NPD
• Amer I Alhussaini MD SC

  • Urgent Care Clinic/Center
  • Westmont, IL
  • NPI 1124402466
  Medicare reassignment
• Physicians Immediate Care North Chicago LLC

  • Urgent Care Clinic/Center
  • Chicago, IL
  • NPI 1205814118
  Medicare reassignment
• Primary Health Care LLC

  • Primary Care Clinic/Center
  • Willowbrook, IL
  • NPI 1053933184
  Medicare reassignment
• Urgent Medical Care LLC

  • Urgent Care Clinic/Center
  • Willowbrook, IL
  • NPI 1699397729
  Medicare reassignment
• Foster Health PLLC

  • General Practice Physician
  • Willowbrook, IL
  • NPI 1770463713
  NPD
• Fastrac Medical, P.C.

  • Emergency Medicine Physician
  • Joliet, IL
  • NPI 1659517597
  NPD (past)

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

{
    "created_epoch": "1262736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1285964700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 HARRISON ST",
            "city": "BELLWOOD",
            "state": "IL",
            "postal_code": "601042450",
            "telephone_number": "708-493-0199",
            "fax_number": "708-493-9683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 HARRISON ST",
            "city": "BELLWOOD",
            "state": "IL",
            "postal_code": "601042450",
            "telephone_number": "708-493-0199",
            "fax_number": "708-493-9683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHL",
        "first_name": "RICHARD",
        "middle_name": "L",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-06",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085003585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maribel Caguana, LCSW
• Jessie Wayne Castro
• Change Homehealth
• Community Imaging LLC
• Janay Bernyce Conley
• Karibia Davis
• Sabrina Davis
• Robeela Deans, NP
• Kimberly Duboise, D.T
• Evernorth Direct Health LLC

• Physician Assistant in Bellwood, IL
• Providers in Bellwood, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.