Individual provider Active NPI

Madli Vahtra, DO

  • Obstetrics & Gynecology Physician
  • Willowbrook, IL
National Provider Identifier
1205577483
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036.180099 Issued in IL
Practice address
545 Plainfield Rd Ste C
Willowbrook, IL 60527-7601
Phone
(630) 654-2229
NPI assigned
Apr 5, 2022
Last updated
Jun 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036.180099 IL Primary

Addresses

Primary practice location

545 Plainfield Rd Ste C
Willowbrook, IL 60527-7601

Mailing address

545 Plainfield Rd Ste C
Willowbrook, IL 60527-7601
Phone (630) 654-2229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Midwestern University, Chicago College of Osteopathic Med, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

309 Wisconsin Ave
3N
Oak Park, IL 60302-3492

3480 E Guasti Rd
Ontario, CA 91761-7684

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
125.079916ILMDObstetrics & Gynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1205577483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 PLAINFIELD RD STE C",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605277601",
            "telephone_number": "630-654-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 PLAINFIELD RD STE C",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605277601",
            "telephone_number": "630-654-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAHTRA",
        "first_name": "MADLI",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036.180099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willowbrook, IL

Sources for this page

Verify at the official NPI Registry.