DR. ANDREW VERNON WAHL (NPI# 1053478479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053478479 |
| Entity Type | Individual |
| Full Name | DR. ANDREW VERNON WAHL |
| Credential | D.P.M. |
| Practice Address |
1960 Essington Rd Suite 103 Joliet IL 60435-1617 |
| Practice Telephone | 8154363555 |
| Mailing Telephone | 8154363555 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2009-11-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 016-004460 | IL | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306912225 | Andrew John Wahl | Dentist | 3901 Silver Lake Rd Ne, Minneapolis, MN 55421-4352 | 2006-11-24 |
| 1124410543 | Andrew Wahl | Occupational Therapist | 425 Alexander Loop, Eugene, OR 97401-6524 | 2015-02-22 |
| 1124206602 | Andrew O Wahl | Radiology | 988102 Nebraska Medical Ctr, Omaha, NE 68198-8102 | 2008-02-06 |
| Street Address |
1960 ESSINGTON RD SUITE 103 |
| City | JOLIET |
| State | IL |
| Zip Code | 60435-1617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063579472 | Ada Vera Paolucci | Podiatrist | 1960 Essington Rd, Suite 103, Joliet, IL 60435-1617 | 2007-01-03 |
| 1588990329 | Gbm Associates Inc | Optometrist | 1960 Essington Rd, Suite 102, Joliet, IL 60435-1616 | 2009-10-29 |
| 1245418847 | Andrew Wahl and Ada Paolucci | Podiatrist | 1960 Essington Rd, Ste 103, Joliet, IL 60435-1617 | 2008-02-06 |
| 1598884330 | Regina Mary Paolucci-delsasso | Dentist | 1960 Essington Rd, Suite 105, Joliet, IL 60435-1616 | 2007-03-29 |
| 1023137353 | Gabriella M Paolucci | Dentist | 1960 Essington Rd, Suite 105, Joliet, IL 60435-1616 | 2007-03-28 |
| 1740334598 | Gregory Donald Jackson | Optometrist | 1960 Essington Rd, Suite 102, Joliet, IL 60435-1616 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851889018 | Chime Ajiere | Nurse Practitioner | 511 Theodore St, Joliet, IL 60435 | 2018-04-24 |
| 1740791284 | Melanie Presnak | Speech-Language Pathologist | 1207 N Larkin Ave, Joliet, IL 60435 | 2017-10-23 |
| 1831618883 | Jeriel Marsena Quarles | Licensed Practical Nurse | 1617 W Jefferson Street, Joliet, IL 60435 | 2017-09-11 |
| 1053769760 | Cody Hutchinson | Physical Therapy Assistant | 2943 W Jefferson St, Joliet, IL 60435 | 2016-06-03 |
| 1659748549 | Megan Ryab | Massage Therapist | 501 Wilcox St, Joliet, IL 60435 | 2015-08-26 |
| 1922416197 | Kodo Care, Inc. | Pharmacy | 221 Springfield Avenue, Suite A, Joliet, IL 60435 | 2014-07-31 |
| 1528489739 | My Family Doc LLC | Family Medicine | 2001-03 Essington Rd, Joliet, IL 60435 | 2013-12-16 |
| 1184973869 | R A Lombardi Dds PC | Dentist | 3011 Theodore St., Joliet, IL 60435 | 2012-09-10 |
| 1245546076 | Kelly Rae Lesemann | Chiropractor | 1011 Essington Road, Joliet, IL 60435 | 2010-08-31 |
| 1932413697 | Ann E Todd | Optometrist | 1521 Essington Road, Everything In Sight, Joliet, IL 60435 | 2010-08-04 |
| Find all providers in zip 60435 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063579472 | Ada Vera Paolucci | Podiatrist | 1960 Essington Rd, Suite 103, Joliet, IL 60435-1617 | 2007-01-03 |
| 1770516957 | Issan Health Care Group Ltd | Podiatrist | 815 N Larkin Ave Ste 100, Joliet, IL 60435-3449 | 2006-07-09 |
| 1245418847 | Andrew Wahl and Ada Paolucci | Podiatrist | 1960 Essington Rd, Ste 103, Joliet, IL 60435-1617 | 2008-02-06 |
| 1902092554 | Caneva Foot & Ankle Clinic, Ltd. | Podiatrist | 200 N Hammes Ave, Joliet, IL 60435-6677 | 2007-09-18 |
| 1346388063 | Joliet Surgicare, P.C. | Podiatrist | 330 Madison St, Joliet, IL 60435-6565 | 2007-02-02 |
| 1306855259 | Daniel James Edward Helmer | Podiatrist | 3077 W Jefferson St, #204, Joliet, IL 60435 | 2006-08-07 |
| 1356381867 | Lori Klemm | Podiatrist | 2100 Glenwood Avenue, Joliet, IL 60435 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881200343 | Podiatric Management Systems LLC | Podiatrist | 1 S067 Summit Ave, Oakbrook Terrace, IL 60181 | 2020-09-21 |
| 1114533700 | Podiatric Management Systems LLC | Podiatrist | 537 W 31st St, Chicago, IL 60616-3294 | 2020-09-18 |
| 1306452099 | Podiatric Management Systems LLC | Podiatrist | 2 W Talcott Rd Ste 23, Park Ridge, IL 60068-5558 | 2020-09-18 |
| 1073129763 | Podiatric Management Systems LLC | Podiatrist | 4310f W Crystal Lake Rd # F, Mchenry, IL 60050-4208 | 2020-09-18 |
| 1679187090 | Podiatric Management Systems LLC | Podiatrist | 5600 W Addison St Lowr 2ll, Chicago, IL 60634-4499 | 2020-09-02 |
| 1932742848 | Foot and Ankle Care & Associates, Ltd | Podiatrist | 3320 W 63rd St, Chicago, IL 60629-3317 | 2019-10-23 |
| 1437622966 | Tomasz Szmyd Dpm, PC | Podiatrist | 1500 E 67th St, Chicago, IL 60637-4427 | 2019-01-08 |
| 1689145898 | S Thomas Sehy D P M L L C | Podiatrist | 213 Nw 10th St Ste B, Fairfield, IL 62837-1219 | 2018-12-16 |
| 1548746761 | Jeremy Marchand | Podiatrist | 2751 W Winona St Rm Ap457, Chicago, IL 60625-2508 | 2018-07-11 |
| 1932693744 | Giovanni Incandela | Podiatrist | 700 E Algonquin Rd Unit 2313, Schaumburg, IL 60173-3835 | 2018-06-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.