Active NPI
Bernard Wittels, M.D., PH.D.
- Anesthesiology Physician
- Evanston, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 036079949
- Practice address
- 355 Ridge Ave
Evanston, IL 60202-3328 - Phone
- (847) 316-6370
- NPI assigned
- Sep 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 036079949 | IL | Primary |
| Anesthesiology Physician | 207L00000X | 2011030637 | MO |
Addresses
Primary practice location
355 Ridge Ave
Evanston, IL 60202-3328
Mailing address
1301 W 22ND St
Suite 610
Oak Brook, IL 60523-2006
Phone (630) 537-1720
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036079949 | IL | MD | Anesthesiology Physician |
| 2011030637 | MO | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northstar Anesthesia of Illinois, LLC | Anesthesiology | Current | Accepting new patients |
| Town Square Anesthesia LLC | Anesthesiology | Current | Accepting new patients |
| Huntley Anesthesia Associates LLC | Anesthesiology | Current | Accepting new patients |
| Racine Anesthesia Services, LLC | Anesthesiology | Past | Accepting new patients |
| Laboratory Corportation of America Holdings | Past | Accepting new patients | |
| University Anesthesiologists SC | Anesthesiology | Past | Accepting new patients |
Locations
5645 W Addison St
Chicago, IL 60634
Phone (773) 282-7000
7435 W Talcott Ave
Chicago, IL 60631
Phone (773) 467-9977
10350 Haligus Rd
Huntley, IL 60142
Phone (847) 802-7150
2550 W Algonquin Rd
Lk in the Hls, IL 60156
Phone (847) 458-1246
4201 W Medical Center Dr
McHenry, IL 60050
Phone (815) 759-3100
20201 Crawford Ave
Olympia Flds, IL 60461
Phone (708) 503-3857
1423 Chicago Rd
Sauk Village, IL 60411
Phone (708) 679-2160
3703 Doty Rd
Woodstock, IL 60098
Phone (815) 334-3170
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Huntley, IL
- NPI 1205282019
-
- Anesthesiology Physician
- Woodstock, IL
- NPI 1669471017
-
- Anesthesiology Physician
- Chicago, IL
- NPI 1073558136
-
- Clinical Medical Laboratory
- Clinton, IN
- NPI 1194140293
-
- Anesthesiology Physician
- Mount Pleasant, WI
- NPI 1467782748
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373760000000",
"number": "1073618427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 W 22ND ST",
"address_2": "SUITE 610",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605232006",
"telephone_number": "630-537-1720",
"fax_number": "630-537-1724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 RIDGE AVE",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602023328",
"telephone_number": "847-316-6370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITTELS",
"first_name": "BERNARD",
"credential": "M.D., PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-13",
"last_updated": "2013-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": "036079949",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MO",
"license": "2011030637",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.