Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

ERIKA DETTLO
NPI 1689472789
Physician Assistant in Huntley, IL

Active since March 04, 2025PECOS Enrolled
10370 HALIGUS RD STE 201, HUNTLEY, IL 60142(815) 455-2752(815) 455-2789 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 15, 2026, Nov 6, 2025, Mar 20, 2025 and 1 more (4 updates tracked since 2025).

About Erika Dettlo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ERIKA DETTLO (NPI 1689472789) is an individual physician assistant in Huntley, Illinois, licensed in Illinois (085011497) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Mchenry, and maintains a secondary practice location in Mchenry.

NPPES Registry Identity

NPI1689472789
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameERIKA DETTLO
Location Address10370 HALIGUS RD STE 201Huntley, IL 60142-9582
Mailing Address10370 Haligus Rd Ste 201Huntley, IL 60142-9582 · (815) 455-2752 · Fax (815) 455-2789
Fax(815) 455-2789
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 2025
Enumeration DateMarch 4, 2025
Last NPPES UpdateJuly 15, 20264 updates tracked since enumeration
NPPES CertifiedJuly 15, 2026
NPI 1689472789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in IL · 085011497
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

10370 HALIGUS RD STE 201, Huntley, IL 60142

Secondary Practice Location 1

Location 14309 W Medical Center Dr Ste B202McHenry, IL 60050-8417 · Phone (815) 455-2752 · Fax (815) 455-2789

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Erika Dettlo is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305345950
PECOS Enrollment IDI20250819005123
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northwestern Medicine Mchenry

Acute Care Hospitals · Mchenry, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140116
Location4201 Medical Center DriveMchenry, IL 60050 · Mc Henry County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60142 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
10370 HALIGUS RD STE 201
HUNTLEY, IL 60142
Urology
10370 HALIGUS RD STE 201
HUNTLEY, IL 60142
Physician Assistant
10370 HALIGUS RD STE 201
HUNTLEY, IL 60142
Surgery
10370 HALIGUS RD STE 201
HUNTLEY, IL 60142
Urology
10370 HALIGUS RD STE 201
HUNTLEY, IL 60142

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 Erika Dettlo's NPI number?

The NPI number for Erika Dettlo is 1689472789. It was assigned to this individual provider in the NPPES registry on March 4, 2025.

Where is Erika Dettlo located?

Erika Dettlo practices at 10370 Haligus Rd Ste 201, Huntley, IL 60142. The listed phone number is (815) 455-2752.

What is Erika Dettlo's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Erika Dettlo enrolled in Medicare?

Yes. Erika Dettlo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Erika Dettlo affiliated with any hospitals?

According to CMS data, Erika Dettlo is affiliated with Northwestern Medicine Mchenry.

When was this NPI record last updated?

The NPPES record for Erika Dettlo was last updated on July 15, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.