Callie Dahleen, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

085004895 Issued in IL

Practice address

4885 Hoffman Blvd
Ste 407
Hoffman Estates, IL 60192-3726

Phone

(630) 455-1756

Fax

(630) 455-1759

NPI assigned

Oct 24, 2013

Last updated

Sep 4, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Physician Assistant

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Beaird Dermatology SCGroup PAC ID 6204126238, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ez_00197

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.

• Beaird Dermatology S C

  • Dermatology Physician
  • Hoffman Estates, IL
  • NPI 1215383666
  Medicare reassignment Care Compare group
• M D Aesthetics and Dermatology LLC

  • Dermatology Physician
  • Chicago, IL
  • NPI 1437678133
  NPD (past)

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

{
    "created_epoch": "1382572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1750719944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4885 HOFFMAN BLVD",
            "address_2": "STE 407",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601923726",
            "telephone_number": "224-484-0183",
            "fax_number": "224-699-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4885 HOFFMAN BLVD",
            "address_2": "STE 407",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601923726",
            "telephone_number": "630-455-1756",
            "fax_number": "630-455-1759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHLEEN",
        "first_name": "CALLIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-24",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "085004895",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085004895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony M D'Agostino, MD
• Chris D'Agostino, DO
• Wajde Dabah, M.D.
• Shay Daberko
• Catherine Theresa Dagian-Stanton, RN
• Alan Andrew Dalessandro, DDS
• Janet Dalicandro, LCSW
• Sara Rose Danesi, PSY.D.
• Daniel I Chin Jr DDS & Associates PC
• Angela Daniels, RN

• Medical Physician Assistant in Hoffman Estates, IL
• Providers in Hoffman Estates, IL by specialty
• Medical Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; 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.

Verify at the official NPI Registry.