Active NPI
Margaret Isely Dauphin-Van Dyk, M.D.
- Specialist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 036059705
- Practice address
- 2800 N Sheridan Rd Ste 406
Chicago, IL 60657-6158 - Phone
- (312) 201-0044
- Fax
- (773) 697-4628
- NPI assigned
- Apr 26, 2006
- Last updated
- Aug 31, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 036059705 | IL | Primary |
Addresses
Primary practice location
2800 N Sheridan Rd Ste 406
Chicago, IL 60657-6158
Mailing address
2738 Lincoln Street
Evanston, IL 60201-2043
Phone (847) 869-7159
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036059705 | Medicaid | IL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | vandyksoffice1212@gmail.com | Health Information Exchange (HIE) |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2800 N Sheridan Rd
Suite 406
Chicago, IL 60657-6158
Phone (312) 201-0044
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Margaret I. Dauphin-Van Dyk M.D., S.C. | Current | Accepting new patients | |
| Presence Healthcare Services | Past | Accepting new patients |
Locations
111 N Wabash Ave
Ste 1212
Chicago, IL 60602
Phone (312) 201-0044
2800 N Sheridan Rd
Ste 406
Chicago, IL 60657
Phone (312) 201-0044
Interoperability endpoints
- https://api.platform.athenahealth.com/23339/brand/1/csg/1/fhir/r4
- margaret.dauphin.van.dyk.1@23339.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1205019205
-
- Internal Medicine Physician
- Bolingbrook, IL
- NPI 1043748338
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Presence Saint Joseph Hospital-Chicago
- General Acute Care Hospital
- Chicago, IL
- NPI 1679659585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661904000000",
"number": "1801852926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2738 LINCOLN STREET",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602012043",
"telephone_number": "847-869-7159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 N SHERIDAN RD STE 406",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606576158",
"telephone_number": "312-201-0044",
"fax_number": "773-697-4628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAUPHIN-VAN DYK",
"first_name": "MARGARET",
"middle_name": "ISELY",
"name_prefix": "Mrs.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-26",
"last_updated": "2022-08-31",
"certification_date": "2022-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IL",
"license": "036059705",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036059705",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "vandyksoffice1212@gmail.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2800 N Sheridan Rd Ste 406",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606576158",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; 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.