Joseph Wabomnor, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

654 E 47TH St
Chicago, IL 60653-4224

Phone

(224) 209-0192

NPI assigned

Feb 20, 2024

Last updated

Apr 9, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Access Community Health NetworkGroup PAC ID 9537076112, 182 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jwabomnor26926@direct.achn.net

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.

• Access Community Health Network

  • Federally Qualified Health Center (FQHC)
  • Des Plaines, IL
  • NPI 1982783692
  Medicare reassignment Care Compare group
• Vivek Gupta, M.D., S.C.

  dba Omni Healthcare

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1033300694
  Medicare reassignment
• Access Community Health Network

  • Federally Qualified Health Center (FQHC)
  • Blue Island, IL
  • NPI 1114005337
  NPD
• Access Community Health Network

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1699701383
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1708387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1114782976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "654 E 47TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606534224",
            "telephone_number": "773-624-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 E 47TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606534224",
            "telephone_number": "224-209-0192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WABOMNOR",
        "first_name": "JOSEPH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-20",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Indre Vysniauskaite
• W Jacobsen DPM Professional Corporation
• W.J.Slodowy M.D.Inc.
• Samira E Waanders-Panwala, PT
• Angela Jae Waanders, M.D., MPH
• Joseph Chuka Wabomnor, DC
• Kevin Wabomnor, PHARMD
• Camille Wachholz
• Laura Wachs, OTR/L
• Kelley Nash Wachsberg

• Medical Physician Assistant in Chicago, IL
• Providers in Chicago, IL by specialty
• Medical Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; 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.

Verify at the official NPI Registry.