DR. DAVID WILK (NPI# 1184630626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184630626 |
| Entity Type | Individual |
| Full Name | DR. DAVID WILK |
| Credential | MD |
| Practice Address |
3330 W 177th St Suite 1a Hazel Crest IL 60429-2184 |
| Practice Telephone | 7087991100 |
| Practice Fax Number | 7087998343 |
| Mailing Telephone | 7087991100 |
| Mailing Fax Number | 7087998343 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
036070423 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036079441 | 05 |
| Street Address |
3330 W 177TH ST SUITE 1A |
| City | HAZEL CREST |
| State | IL |
| Zip Code | 60429-2184 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780673897 | Nader M Beshay | Internal Medicine | 3330 W 177th St, Suite 3 H, Hazel Crest, IL 60429-2001 | 2005-10-20 |
| 1528614583 | Maribel Arteaga | Physical Therapist | 3330 W 177th St, Hazel Crest, IL 60429-2184 | 2019-08-15 |
| 1477119014 | Milka Ramirez | Social Worker | 3330 W 177th St, Hazel Crest, IL 60429-2184 | 2019-05-17 |
| 1396113486 | Samantha Hyche | Nurse Practitioner | 3330 W 177th St, Ste 3g, Hazel Crest, IL 60429-2199 | 2015-09-08 |
| 1427439645 | Ralph Yaniz | Counselor | 3330 W 177th St, 1f, Hazel Crest, IL 60429-2184 | 2015-06-12 |
| 1972998748 | Ozella Barnes | Psychologist | 3330 W 177th St, Suite 1f, Hazel Crest, IL 60429-2184 | 2015-03-30 |
| 1346631645 | Healing Health Pharmacy Inc | Pharmacy | 3330 W 177th St, Suite 3e, Hazel Crest, IL 60429-2184 | 2015-02-09 |
| 1629472766 | Dorretta Parker | Social Worker | 3330 W 177th St, Suite 1f, Hazel Crest, IL 60429-2184 | 2014-10-17 |
| 1073916888 | Vienne Reid | Social Worker | 3330 W 177th St, Suite 1f, Hazel Crest, IL 60429-2184 | 2014-10-07 |
| 1134546906 | Mia Garmon | Registered Nurse | 3330 W 177th St, Suite 2g, Hazel Crest, IL 60429-2184 | 2014-03-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659917987 | Nancy Sinwelski | Technician | 17305 Fisk Street, East Hazelcrest, IL 60429 | 2019-11-21 |
| 1144720871 | Plentiful Hair Studio LLC | Specialist | 17504 E Carriageway Dr Ste D, Hazel Crest, IL 60429 | 2018-02-19 |
| 1376052142 | Natalie Allen | Counselor | 3518 Birchwood Dr, Hazel Crest, IL 60429 | 2017-09-25 |
| 1730534009 | Lydena Franklin | Counselor | 1909 Cheker Square, East Hazel Crest, IL 60429 | 2016-04-25 |
| 1710331053 | Lauiren Orta | Counselor | 1901 Cheker Square, E Hazel Crest, IL 60429 | 2016-04-22 |
| 1427423367 | Andrea Leigh Warren | Nurse Practitioner | 17800 S. Kedzie Ave, Hazel Crest, IL 60429 | 2015-12-03 |
| 1770969354 | Karriem's Developmental Services | Day Training, Developmentally Disabled Services | 18513 River Road, Hazel Crest, IL 60429 | 2015-08-05 |
| 1073905170 | James Kamper | Physical Therapy Assistant | 1816 W 170th Street, Hazel Crest, IL 60429 | 2015-02-26 |
| 1194066019 | Marilyn C Scott | Psychologist | 18505 Meadow Ln., Hazel Crest, IL 60429 | 2013-03-04 |
| 1649548405 | Supported Independence | Community/Behavioral Health | 17009 Elm Drive, Hazel Crest, IL 60429 | 2011-12-08 |
| Find all providers in zip 60429 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639123458 | Tanjeev Kaur | Internal Medicine | 17577 South Kedzie Ave, Suite 109, Hazel Crest, IL 60429 | 2006-05-19 |
| 1619054228 | Rekha Sharma | Internal Medicine | 3330 W 177th St, Suite 2e, Hazel Crest, IL 60429-2184 | 2006-11-01 |
| 1013923689 | Kathleen Oshea-wilk | Internal Medicine | 3330 W 177th St, Suite 1a, Hazel Crest, IL 60429-2184 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477058378 | Ranim Mira | Internal Medicine | 4021 W Belle Plaine Ave # Ge, Chicago, IL 60641-2412 | 2018-03-24 |
| 1518351758 | Vania Leung | Internal Medicine | 2600 S Michigan Ave Ste 205, Chicago, IL 60616-2857 | 2015-03-25 |
| 1699174540 | Hatem Hassaballa | Internal Medicine | 840 S Wood St Fl 4, Suite 409 (m/c 717), Chicago, IL 60612-4325 | 2014-08-16 |
| 1528495470 | Home Care Doctors of Illinois Inc | Internal Medicine | 121 Fairfield Way Ste 312, Bloomingdale, IL 60108-1585 | 2013-10-08 |
| 1699059857 | We Care for Seniors Ltd | Internal Medicine | 501 Ashbury Ct, Lemont, IL 60439-8422 | 2011-10-06 |
| 1508181108 | Francina Miguelina Peralta Machado | Internal Medicine | 3046 127th St, Blue Island, IL 60406-1827 | 2010-04-07 |
| 1295976892 | Woodridgeclinic-lemont | Internal Medicine | 15884 W 127th St, Suite H, Lemont, IL 60439-7422 | 2009-03-12 |
| 1609037498 | Katya Yanira Cruz Madrid | Internal Medicine | 840 S. Wood St, Mic 717 Suite 409, Chicago, IL 60612 | 2008-06-24 |
| 1326209446 | Downers Grove Geriatrics, LLC | Internal Medicine | 3800 Highland Ave Ste 111, Downers Grove, IL 60515-1558 | 2008-06-20 |
| 1801060538 | Ronald James Grason | Internal Medicine | 357 W Decatur St, Decatur, IL 62522 | 2008-04-14 |
| Find all providers with the same taxonomy | ||||
| City | HAZEL CREST |
| Zip Code | 60429 |
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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.