Active NPI
Walter C Wrobel, MD
- General Practice Physician
- Arlington HTS., IL
National Provider Identifier
1215936406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 036039387
- Practice address
- 623 E. Maude Ave.
Walter Wrobel
Arlington HTS., IL 60004-4045 - Phone
- (847) 749-2274
- NPI assigned
- Jul 19, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 036039387 | IL | |
| General Practice Physician | 208D00000X | 036039387 | IL | Primary |
Addresses
Primary practice location
623 E. Maude Ave.
Walter Wrobel
Arlington HTS., IL 60004-4045
Mailing address
623 E Maude Ave
Arlington HTS, IL 60004-4045
Phone (847) 749-2274
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036-039387 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabilitation Associates of Northern | Past | Accepting new patients | |
| Physician House-Call Services, Inc | Past | Accepting new patients | |
| Tristate Wellness MGT LLC | Past | Accepting new patients |
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251849600000",
"number": "1215936406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "623 E MAUDE AVE",
"city": "ARLINGTON HTS",
"state": "IL",
"postal_code": "600044045",
"telephone_number": "847-749-2274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "623 E. MAUDE AVE.",
"address_2": "WALTER WROBEL",
"city": "ARLINGTON HTS.",
"state": "IL",
"postal_code": "600044045",
"telephone_number": "847-749-2274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WROBEL",
"first_name": "WALTER",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-19",
"last_updated": "2009-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036039387",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "IL",
"license": "036039387",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036-039387",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arlington HTS., IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.