Active NPI
Katy Lorraine Dilland, PA-C
- Physician Assistant
- Skokie, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 085007516
- Practice address
- 9600 Gross Point Rd
Skokie, IL 60076-1214 - Phone
- (847) 933-6410
- Fax
- (847) 933-6411
- NPI assigned
- May 25, 2011
- Last updated
- Sep 15, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601006040 | MI | |
| Medical Physician Assistant | 363AM0700X | 5601006040 | MI | |
| Physician Assistant | 363A00000X | 085007516 | IL | Primary |
Addresses
Primary practice location
9600 Gross Point Rd
Skokie, IL 60076-1214
Mailing address
9600 Gross Point Rd
Skokie, IL 60076-1214
Phone (847) 933-6410
Other practice location 1
4160 John R Street
Suite 724
Detroit, MI 48201-2014
Phone (313) 832-8888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1034 N 500
Provo, UT 84604-3380
Phone (801) 357-8879
1380 E Medical Ctr Dr
Suite 1400
St George, UT 84790-2127
Phone (435) 251-2600
201 W Layton Pkwy
Layton, UT 84041-3692
325 8TH Ave
Salt Lake City, UT 84143-0001
Phone (801) 408-3617
3741 W 12600
Riverton, UT 84065-7215
4401 Harrison Blvd
Ogden, UT 84403-3195
5121 S Cottonwood St
Murray, UT 84107-5701
5131 S Cottonwood St
Murray, UT 84107-5701
Phone (801) 507-3888
700 S Hwy 99
Suite 3
Fillmore, UT 84631-5137
Phone (801) 357-4600
8 TH Ave and C St
Salt Lake City, UT 84143-0001
Phone (801) 408-1100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085007516 | IL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Endeavor Health Clinical Operations | Past | Accepting new patients | |
| Ihc Health Services Inc | Past | Accepting new patients | |
| Endeavor Health Medical Group | Past | Accepting new patients |
Locations
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
3723 W 12600 S
Ste 330
Riverton, UT 84065
Phone (801) 285-4543
8th Ave And C St
Salt Lake City, UT 84143
Phone (801) 350-4110
5121 S Cottonwood St
Salt Lake Cty, UT 84107
Phone (801) 408-8998
9660 S 1300 E
Sandy, UT 84094
Phone (801) 314-2417
Interoperability endpoints
- katy.dilland.1@20766.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- Sandy, UT
- NPI 1942325154
-
dba NorthShore University HealthSystem Faculty Practice Associates
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
-
dba Intermountain River Road Family Medicine
- Family Medicine Physician
- St George, UT
- NPI 1417092883
-
dba St George Adolescent Partial Hospitalization
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
dba Endeavor Health Highland Park Hospital
- Psychiatric Hospital Unit
- Highland Park, IL
- NPI 1770527236
-
dba Orem Community Hospital Physicians
- Multi-Specialty Clinic/Center
- Orem, UT
- NPI 1588601124
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Intermountain Health McKay-Dee Hospital
- General Acute Care Hospital
- Ogden, UT
- NPI 1194749580
-
dba Intermountain Health Intermountain Medical Center
- General Acute Care Hospital
- Murray, UT
- NPI 1043220650
-
dba Intermountain Health Utah Valley Hospital
- General Acute Care Hospital
- Provo, UT
- NPI 1114025491
-
dba Intermountain Health LDS Hospital
- General Acute Care Hospital
- Salt Lake City, UT
- NPI 1528078581
-
dba Intermountain Health Infusion Center- Spanish Fork, A Service of Utah Valley Hospital
- Infusion Therapy Clinic/Center
- Spanish Fork, UT
- NPI 1679426944
Hospital
-
dba Intermountain Health Infusion Center- American Fork, A Service of Utah Valley Hospital
- Infusion Therapy Clinic/Center
- American Fork, UT
- NPI 1982557252
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600128000000",
"number": "1689967598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9600 GROSS POINT RD",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600761214",
"telephone_number": "847-933-6410",
"fax_number": "847-933-6411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9600 GROSS POINT RD",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600761214",
"telephone_number": "847-933-6410",
"fax_number": "847-933-6411"
}
],
"practiceLocations": [
{
"address_1": "4160 John R Street",
"address_2": "Suite 724",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482012014",
"country_code": "US",
"telephone_number": "313-832-8888",
"fax_number": "313-831-1137",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DILLAND",
"first_name": "KATY",
"middle_name": "LORRAINE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-25",
"last_updated": "2020-09-15",
"certification_date": "2020-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601006040",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MI",
"license": "5601006040",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085007516",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Skokie, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.