Individual provider Active NPI

Lauren N Dykens, PA-C

  • Medical Physician Assistant
  • Arlington HTS, IL
National Provider Identifier
1396775946
Registry record updated Oct 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
085-002526 Issued in IL
Practice address
800 W Central Rd
Arlington HTS, IL 60005-2349
Phone
(847) 618-3040
NPI assigned
Jul 3, 2006
Last updated
Oct 27, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 085-002526 IL Primary

Addresses

Primary practice location

800 W Central Rd
Arlington HTS, IL 60005-2349

Mailing address

559 W Roscoe St
2W
Chicago, IL 60657-3518
Phone (573) 268-4536

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
I20070625000095 IL Practitioner - Physician Assistant 5597864058 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Immediate Care North Chicago LLCGroup PAC ID 8729064159, 256 clinicians

Practice addresses (Care Compare)

121 W N Ave
Chicago, IL 60610-1315
Phone (312) 643-5606

2077 N Clybourn Ave
Chicago, IL 60614-4003
Phone (773) 886-1500

3909 N Western Ave
Chicago, IL 60618-3741
Phone (773) 739-9200

4211 N Cicero Ave
Chicago, IL 60641-1651
Phone (773) 794-1000

5228 N Northwest Hwy
Chicago, IL 60630-4620
Phone (773) 770-4707

5961 N Lincoln Ave
Chicago, IL 60659-3758
Phone (312) 702-3923

811 S State St
Chicago, IL 60605-2225
Phone (312) 566-9510

825 S State St
Chicago, IL 60605-2225
Phone (312) 566-9510

933 W Diversity Pkwy
Chicago, IL 60614-1439
Phone (312) 445-8805

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
085-002526ILMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pic Wisconsin SC PastSince Sep 25, 2019 Accepting new patients
Bestpractices of Northwest SC Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288137600000",
    "number": "1396775946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 W ROSCOE ST",
            "address_2": "2W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573518",
            "telephone_number": "573-268-4536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W CENTRAL RD",
            "city": "ARLINGTON HTS",
            "state": "IL",
            "postal_code": "600052349",
            "telephone_number": "847-618-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYKENS",
        "first_name": "LAUREN",
        "middle_name": "N",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2010-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085-002526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington HTS, IL

Sources for this page

Verify at the official NPI Registry.