Individual provider Active NPI

Erin T. Dalka, M.D.

  • Emergency Medicine Physician
  • Lake Zurich, IL
National Provider Identifier
1629414602
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036143797 Issued in IL
Practice address
235 S Rand Rd
Lake Zurich, IL 60047
Phone
(847) 438-3770
NPI assigned
May 16, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036143797 IL Primary

Addresses

Primary practice location

235 S Rand Rd
Lake Zurich, IL 60047

Mailing address

235 S Rand Rd
Lake Zurich, IL 60047-2273

Other practice location 1

360 Station Dr Ste 300A
Crystal Lake, IL 60014-7978
Phone (815) 788-7500

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170828003265 IL Practitioner - Emergency Medicine 1456649607 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Rush Medical College of Rush University, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwestern Medical Faculty FoundationGroup PAC ID 4587576814, 4,386 clinicians

Practice addresses (Care Compare)

360 Station Dr
Crystal Lake, IL 60014-7978
Phone (815) 788-7500

Hospital & facility affiliations

  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242
  • Northwestern Medicine McHenry Hospital, McHenry, IL, CCN 140116

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
83.05
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036143797ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Faculty Foundation CurrentSince Oct 18, 2022 Accepting new patients
Lake County Acute Care, LLP CurrentSince Sep 2, 2021 Accepting new patients
Lake County Acute Care, LLP Current Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Oct 18, 2022 Accepting new patients

Locations

150 W Half Day Rd
Buffalo Grove, IL 60089
Phone (847) 215-0000

Dept 5777
Carol Stream, IL 60122

Carol Stream, IL 60122
Phone (630) 933-3300

360 Station Dr
Ste 300A
Crystal Lake, IL 60014
Phone (815) 788-7500

1445 N Hunt Club Rd
Ste 101
Gurnee, IL 60031
Phone (847) 438-1779

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870

2 E Rollins Rd
Round Lake Beach, IL 60073
Phone (847) 546-5800

6 E Phillip Rd
Ste 1102
Vernon Hills, IL 60061
Phone (847) 680-0500

6 E Phillip Rd
Vernon Hills, IL 60061
Phone (847) 362-5353

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1368662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1629414602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 S RAND RD",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600472273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 S RAND RD",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "60047",
            "telephone_number": "847-438-3770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "360 Station Dr Ste 300A",
            "address_purpose": "LOCATION",
            "city": "Crystal Lake",
            "state": "IL",
            "postal_code": "600147978",
            "country_code": "US",
            "telephone_number": "815-788-7500",
            "fax_number": "815-455-8044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DALKA",
        "first_name": "ERIN",
        "middle_name": "T.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-16",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036143797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Zurich, IL

Sources for this page

Verify at the official NPI Registry.