Individual provider Active NPI

Rachel Elizabeth Vandyken, PA-C

  • Medical Physician Assistant
  • Berwyn, IL
National Provider Identifier
1477040467
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
085.006542 Issued in IL
Practice address
7000 Cermak Rd
Berwyn, IL 60402-2112
Phone
(708) 484-8090
Fax
(708) 445-4444
NPI assigned
Apr 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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 085.006542 IL Primary

Addresses

Primary practice location

7000 Cermak Rd
Berwyn, IL 60402-2112

Mailing address

PO Box 746715
Atlanta, GA 30374-6715
Phone (773) 352-1515

Other practice location 1

2533 W Cermak Rd
Chicago, IL 60608-3719
Phone (773) 523-0900

Other practice location 2

4327 S Archer Ave
Chicago, IL 60632-2844
Phone (773) 242-2370

Other practice location 3

801 W Lake Ave Ste 200
Peoria, IL 61614-5951
Phone (773) 377-7304

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
I20180806001328 IL Practitioner - Physician Assistant 9638427776 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Emory University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Street Health Physicians Group PCGroup PAC ID 7517109879, 227 clinicians

Practice addresses (Care Compare)

4327 S Archer Ave
Chicago, IL 60632-2844
Phone (773) 242-2370

4848 W Irving Park Rd
Chicago, IL 60641-2718
Phone (855) 625-7878

5524 W Cermak Rd
Suite 2
Cicero, IL 60804-2217
Phone (708) 298-0766

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
085.006542ILMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Access Community Health Network CurrentSince Jul 9, 2018 Accepting new patients
Access Community Health Network CurrentSince Jul 9, 2018 Accepting new patients
Osh-Il Physicians Group LLC PastSince Jan 22, 2017 Accepting new patients

Locations

2533 W Cermak Rd
Chicago, IL 60608
Phone (773) 523-0900

Organizations & group practices 5

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": "1523836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1477040467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746715",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746715",
            "telephone_number": "773-352-1515",
            "fax_number": "312-929-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 CERMAK RD",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604022112",
            "telephone_number": "708-484-8090",
            "fax_number": "708-445-4444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2533 W Cermak Rd",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606083719",
            "country_code": "US",
            "telephone_number": "773-523-0900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4327 S Archer Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606322844",
            "country_code": "US",
            "telephone_number": "773-242-2370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 W Lake Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "IL",
            "postal_code": "616145951",
            "country_code": "US",
            "telephone_number": "773-377-7304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDYKEN",
        "first_name": "RACHEL",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-16",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085.006542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berwyn, IL

Sources for this page

Verify at the official NPI Registry.