THOMAS E VANDYKE PA-C
NPI 1083871115
Physician Assistant - Medical in Chicago, IL
About Thomas E Vandyke Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THOMAS E VANDYKE PA-C (NPI 1083871115) is an individual medical provider in Chicago, Illinois, licensed in Illinois (085000752) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Thomas E Vandyke Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHICAGO, IL 60621
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Thomas Vandyke's NPI number?
The NPI number for Thomas Vandyke is 1083871115. It was assigned to this individual provider in the NPPES registry on May 16, 2008.
Where is Thomas Vandyke located?
Thomas Vandyke practices at 6614 S Halsted St, Chicago, IL 60621. The listed phone number is (773) 651-1224.
What is Thomas Vandyke's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Thomas Vandyke enrolled in Medicare?
Yes. Thomas Vandyke is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Thomas Vandyke was last updated on August 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Thomas E Vandyke, PA-C · NPI 1083871115
Medical physician in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since May 16, 2008.
## Identity
- **NPI:** 1083871115 (Entity type: Individual)
- **Enumerated:** May 16, 2008
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 085000752 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 6614 S HALSTED ST, Chicago, IL 60621-1812
- **Phone:** (773) 651-1224
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** August 16, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1083871115) · Data from the CMS NPPES public registry.