Individual provider Active NPI

Caroline K. Dillon

  • Physician Assistant
  • Chicago, IL
National Provider Identifier
1659163145
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1219802 Issued in IL
Practice address
4211 N Cicero Ave
Chicago, IL 60641-1651
Phone
(773) 794-1000
NPI assigned
May 20, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1219802 IL Primary

Addresses

Primary practice location

4211 N Cicero Ave
Chicago, IL 60641-1651

Mailing address

240 S Catherine Ave
La Grange, IL 60525-2314
Phone (773) 610-0282

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
I20250821004031 IL Practitioner - Physician Assistant 7618477951 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
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

13448 Cicero Ave
Crestwood, IL 60418-1430
Phone (708) 682-3384

1702 N Milwaukee Ave
Chicago, IL 60647-5424
Phone (773) 770-4056

2201 Oak Park Ave
Berwyn, IL 60402-2220
Phone (312) 324-0222

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

5300 S Long Ave
Chicago, IL 60638-2918
Phone (312) 300-7400

6140 N Broadway St
Chicago, IL 60660-2538
Phone (773) 435-9028

6831 N Ave
Oak Park, IL 60302-1023
Phone (847) 653-0130

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
1219802ILMDPhysician Assistant

Organizations & group practices 1

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": "1747699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1659163145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 S CATHERINE AVE",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605252314",
            "telephone_number": "773-610-0282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 N CICERO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606411651",
            "telephone_number": "773-794-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLON",
        "first_name": "CAROLINE",
        "middle_name": "K.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-20",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "1219802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.