Dallan Patrick Dargan, MBBCH MSC FRCS PLAST

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

125.082847 Issued in IL

Practice address

5700 S Maryland Ave
Chicago, IL 60637-1426

Phone

(773) 702-6736

NPI assigned

Aug 29, 2023

Last updated

Aug 29, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1693267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1912782764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 S MARYLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371426",
            "telephone_number": "773-702-6736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 S MARYLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371426",
            "telephone_number": "773-702-6736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARGAN",
        "first_name": "DALLAN",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "MBBCH MSC FRCS PLAST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-29",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "IL",
            "license": "125.082847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elarnta Darden, FNP-C
• Loren E Dardi, MD
• Colleen Marie Dardis, OTR
• Mindy Dardon, LCPC
• Anne F Darga, APN
• Jacqueline Spangenberg Dargan, MD
• Robert Harold Dargel, MSW, LCSW, CEAP
• Ruby Rose Dargento, LCSW
• Erin Darguzas, APN
• Michelle Darian, MS, MPH, RD, LD

• Plastic Surgery Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Plastic Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.