Carl Vancol, MD

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

036098516 Issued in IL

Practice address

45 W 111TH St
Suite 304
Chicago, IL 60628-4200

Phone

(773) 995-3463

NPI assigned

Aug 16, 2005

Last updated

Feb 4, 2026By 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 3

Addresses

Other identifiers 4

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family PracticeAlso: Pediatric Medicine

Education

Southern Illinois University School of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Roseland Community Hospital Hospital, Chicago, IL, CCN 140068

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: carl.vancol.1@15328.direct.athenahealth.com
• Direct secure messaging: cvancol@roselandhospital.medalliesdirect.net
• FHIR API: https://api.platform.athenahealth.com/15328/brand/1/csg/1/fhir/r4

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.

• Vancol Family Health Center SC

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1477723823
  Medicare reassignment NPD
• Family Christian Health Center

  • Federally Qualified Health Center (FQHC)
  • Harvey, IL
  • NPI 1093855736
  Medicare reassignment
• Roseland Community Hospital Association

  dba Roseland Community Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1568472819
  NPD
• Family Christian Health Center

  dba Family Christian Health Center-Dolton

  • Federally Qualified Health Center (FQHC)
  • Dolton, IL
  • NPI 1336433382
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Roseland Community Hospital Association

  dba Roseland Community Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1568472819
  Care Compare affiliation

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1245222454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8646 S SAGINAW AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606172422",
            "telephone_number": "773-768-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 W 111TH ST",
            "address_2": "SUITE 304",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606284200",
            "telephone_number": "773-995-3463"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31 W 155th St",
            "address_purpose": "LOCATION",
            "city": "Harvey",
            "state": "IL",
            "postal_code": "604263556",
            "country_code": "US",
            "telephone_number": "708-596-5177 x2726",
            "fax_number": "708-596-5518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANCOL",
        "first_name": "CARL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036098516",
            "primary": false
        },
        {
            "code": "207QA0000X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "IL",
            "license": "036098516",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "IL",
            "license": "036098516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036098516",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080193944",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0001633398",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ILLINOIS",
            "identifier": "1625687",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jill Robinson Vance, PSYD
• Kayleigh Vance, MD
• Morgan Vance, LCSW
• Nathan Gregory David Vance
• Vancol Family Health Center SC
• Pamela Ellen Vancollins, MSW, LMSW, LPN, QMHP
• Vandana Badlani MD S.C.
• Mercedez Vandecasteele, DNP, FNP-BC
• Anna Vandecaveye, APRN, CNP
• Lori Vandellen, OTR/L

• Adult Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Adult Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.

Verify at the official NPI Registry.