Active NPI
Ellen Dial
- Specialist
- Elgin, IL
National Provider Identifier
1851845499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 1881109
- Practice address
- 620 Wing St
Elgin, IL 60123-2800 - Phone
- (847) 529-9148
- NPI assigned
- Aug 11, 2016
- 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 | 1881109 | IL | Primary |
Addresses
Primary practice location
620 Wing St
Elgin, IL 60123-2800
Mailing address
2830 Randall Ridge Dr
Elgin, IL 60124-8043
Phone (847) 529-9148
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1881109 | IL | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470873600000",
"number": "1851845499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2830 RANDALL RIDGE DR",
"city": "ELGIN",
"state": "IL",
"postal_code": "601248043",
"telephone_number": "847-529-9148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 WING ST",
"city": "ELGIN",
"state": "IL",
"postal_code": "601232800",
"telephone_number": "847-529-9148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAL",
"first_name": "ELLEN",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-11",
"last_updated": "2016-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IL",
"license": "1881109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elgin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.