Natalie Dillman, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

085007896 Issued in IL

Practice address

16131 La Salle St
South Holland, IL 60473-2064

Phone

(708) 331-0711

NPI assigned

Aug 21, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Associated Medical Centers of Illinois, LTD.

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1518180686
  NPD (past)

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

{
    "created_epoch": "1219276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1295982189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9019 MAPLEWOOD ST",
            "city": "SAINT JOHN",
            "state": "IN",
            "postal_code": "463739599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16131 LA SALLE ST",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604732064",
            "telephone_number": "708-331-0711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1380 E Main St",
            "address_purpose": "LOCATION",
            "city": "Edmore",
            "state": "MI",
            "postal_code": "488298339",
            "country_code": "US",
            "telephone_number": "989-427-3511",
            "fax_number": "989-427-3294",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DILLMAN",
        "first_name": "NATALIE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-21",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601005332",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085007896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan M Davis
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• Dental Care 4 U P C
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• John Dinh, DO
• Distinctively Me
• Jandolyn A Dixon
• Dollies Transportation LLC
• Dolores & Lillie'S Place LLC

• Physician Assistant in South Holland, IL
• Providers in South Holland, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.