Active NPI
Victoria Wolfinger, PA-C
- Physician Assistant
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 085-001641
- Practice address
- 5961 N Lincoln Ave
Chicago, IL 60659-3758 - Phone
- (312) 702-3923
- NPI assigned
- Oct 3, 2006
- Last updated
- Sep 14, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085-001641 | IL | Primary |
Addresses
Primary practice location
5961 N Lincoln Ave
Chicago, IL 60659-3758
Mailing address
5961 N Lincoln Ave
Chicago, IL 60659-3758
Phone (312) 702-3923
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 085-001641 | Other | IL | STATE LICENSE # |
Other names 1
- Victoria Gomberg
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3207 Lake Ave
Wilmette, IL 60091-1070
3207 Lake Ave
Wilmette, IL 60091-1082
Phone (847) 873-8000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085-001641 | IL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellnow Urgent Care, PC | Current | Accepting new patients | |
| Advanced Medical Professionals LLC | Past | Accepting new patients | |
| Fastrac Medical, P.C. | Past | Accepting new patients |
Locations
13448 Cicero Ave
Crestwood, IL 60418
Phone (708) 682-3384
4195 N Water St
Decatur, IL 62526
Phone (217) 775-6150
1840 N Richmond Rd
McHenry, IL 60051
Phone (779) 704-3075
600 W North Ave
Melrose Park, IL 60160
Phone (708) 316-2058
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba LakePointe Urgent Care
- Family Medicine Physician
- Wilmette, IL
- NPI 1689434987
-
dba WellNow Urgent Care
- Urgent Care Clinic/Center
- Liverpool, NY
- NPI 1669825162
IL
-
- Urgent Care Clinic/Center
- Chicago, IL
- NPI 1205814118
-
- Emergency Medicine Physician
- Joliet, IL
- NPI 1659517597
-
- Family Medicine Physician
- Las Vegas, NV
- NPI 1326423377
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600041600000",
"number": "1043304694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5961 N LINCOLN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606593758",
"telephone_number": "312-702-3923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5961 N LINCOLN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606593758",
"telephone_number": "312-702-3923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFINGER",
"first_name": "VICTORIA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2020-09-14",
"certification_date": "2020-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085-001641",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE #",
"identifier": "085-001641",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "VICTORIA",
"last_name": "GOMBERG",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.