Active NPI
Lawrence Wiggins, PA
- Physician Assistant
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 2361 Paysphere Cir
Chicago, IL 60674-0023 - Phone
- (847) 746-4358
- NPI assigned
- Jan 30, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
2361 Paysphere Cir
Chicago, IL 60674-0023
Mailing address
2520 Elisha Ave
Zion, IL 60099-2676
Phone (847) 872-4561
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, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1616 Grand Ave
Suite a
Waukegan, IL 60085-3676
Phone (847) 249-1733
Hospital & facility affiliations
- Vista Medical Center East
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oncology Hematology Associates of Northern Illinois, LTD | Current | Accepting new patients | |
| Waukegan Clinic Corp | Current | Accepting new patients |
Locations
15 Tower Ct
Ste 210
Gurnee, IL 60031
Phone (847) 599-1444
200 S Greenleaf St
Ste L
Gurnee, IL 60031
Phone (847) 360-7888
1616 Grand Ave
Ste A
Waukegan, IL 60085
Phone (847) 249-1733
Interoperability endpoints
- https://api.platform.athenahealth.com/2069/brand/1/csg/29/fhir/r4
- lawrence.wiggins.1@2069.direct.athenahealth.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Waukegan, IL
- NPI 1306937289
-
- Psychologist
- Rosemont, IL
- NPI 1326671702
-
- Hematology & Oncology Physician
- Gurnee, IL
- NPI 1093142135
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Waukegan, IL
- NPI 1639120694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1104897974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2520 ELISHA AVE",
"city": "ZION",
"state": "IL",
"postal_code": "600992676",
"telephone_number": "847-872-4561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2361 PAYSPHERE CIR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606740023",
"telephone_number": "847-746-4358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIGGINS",
"first_name": "LAWRENCE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-30",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jul 13, 2026; 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.