| Margaret I. Dauphin-van Dyk M.d., S.c. | |
|
2800 N Sheridan Rd Ste 406 Chicago IL 60657-6158 | |
| (312) 201-0044 | |
| (773) 697-4628 |
| Full Name | Margaret I. Dauphin-van Dyk M.d., S.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2800 N Sheridan Rd Ste 406, Chicago, Illinois |
| Authorized Official Name and Position | Margaret I Dauphin-van Dyk (DOCTOR/OWNER OF PRACTICE) |
| Authorized Official Contact | 3122010044 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Margaret I. Dauphin-van Dyk M.d., S.c. 2800 N Sheridan Rd Ste 406 Chicago IL 60657-6158 Ph: (312) 201-0044 | Margaret I. Dauphin-van Dyk M.d., S.c. 2800 N Sheridan Rd Ste 406 Chicago IL 60657-6158 Ph: (312) 201-0044 |
| NPI Number | 1205019205 |
|---|---|
| Provider Enumeration Date | 12/12/2007 |
| Last Update Date | 08/31/2022 |
| Medicare PECOS PAC ID | 8426065400 |
|---|---|
| Medicare Enrollment ID | O20060316000065 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205019205 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036059705 (Illinois) | Primary |
| Provider Name | Margaret I Dauphin-vandyk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801852926 PECOS PAC ID: 8325017320 Enrollment ID: I20040927001011 |
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